[1]陈立朝,许民辉,杨东虹,等.支架结合弹簧圈栓塞治疗颅内宽颈动脉瘤的临床分析[J].第三军医大学学报,2009,31(02):175-176.
 CHEN Li-zhao,XU Min-hui,YANG Dong-hong,et al.Self-expanding stent combined with detachable coils for wide-necked intracranial aneurysms: report of 20 cases[J].J Third Mil Med Univ,2009,31(02):175-176.
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
31卷
期数:
2009年第02期
页码:
175-176
栏目:
论著
出版日期:
2009-01-30

文章信息/Info

Title:
Self-expanding stent combined with detachable coils for wide-necked intracranial aneurysms: report of 20 cases
作者:
陈立朝许民辉杨东虹邹咏文张云东
第三军医大学大坪医院野战外科研究所神经外科
Author(s):
CHEN Li-zhao XU Min-hui YANG Dong-hong ZOU Yong-wen ZHANG Yun-dong
Department of Neurosurgery, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing 400042, China
关键词:
颅内动脉瘤弹簧圈支架
Keywords:
intracranial aneurysm coil stent
分类号:
R651.12;R732.21
文献标志码:
A
摘要:
目的    总结支架结合弹簧圈栓塞治疗颅内宽颈动脉瘤的技巧及结果。    方法    采用支架结合弹簧圈栓塞治疗颅内宽颈动脉瘤20例。    结果    栓塞程度:致密栓塞15例,栓塞90%以上3例,90%以下2例。术中出血2例,1例死亡。    结论    采用支架结合弹簧圈可以明显提高颅内宽颈动脉瘤的致密栓塞率。
Abstract:
Objective    To summarize the skills and outcomes of the combined application of a self-expanding neurovascular stent system and detachable coils in the management of wide-necked intracranial aneurysms.     Methods    Twenty cases of wide-necked intracranial aneurysms were endovascularly embolized using self-expanding stent combined with Guglielmi detachable coil (GDC).     Results    Total occlusion was achieved in 15 aneurysms (75%), over 90% in 3 aneurysms (15%), and less than 90% in 2 aneurysms (10%). Complications occurred as follows: bleeding in 2 patients (10%) during the procedure and one of them died later, thrombotic cerebral infarction in 1 patient and carotid arteriospasm in another patient, but no stent shifting, deformation, shedding or collapse occoured.     Conclusion    The combination of self-expanding neurovascular stent system with detachable coils can increase the total occlusion rate in the management of wide-necked intracranial aneurysms. But its long-term effect needs further study.

参考文献/References:

陈立朝, 许民辉, 杨东虹, 等. 支架结合弹簧圈栓塞治疗颅内宽颈动脉瘤的临床分析[J]. 第三军医大学学报, 2009, 31(2):175-176.

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更新日期/Last Update: 2009-01-08