[1]徐睿,张晓冬,朱继,等.Solitaire支架在处理颅内动脉瘤介入栓塞术中急性血栓事件的有效性与安全性[J].第三军医大学学报,2016,38(12):1442-1446.
 Xu Rui,Zhang Xiaodong,Zhu Ji,et al.Efficacy and safety of Solitaire stent in acute thromboembolism events during endovascular treatment in patients with ruptured intracranial aneurysm[J].J Third Mil Med Univ,2016,38(12):1442-1446.
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Solitaire支架在处理颅内动脉瘤介入栓塞术中急性血栓事件的有效性与安全性(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
38卷
期数:
2016年第12期
页码:
1442-1446
栏目:
临床医学
出版日期:
2016-06-30

文章信息/Info

Title:
Efficacy and safety of Solitaire stent in acute thromboembolism events during endovascular treatment in patients with ruptured intracranial aneurysm
作者:
徐睿张晓冬朱继郭宗铎孙晓川唐文渊
重庆医科大学附属第一医院神经外科
Author(s):
Xu Rui Zhang Xiaodong Zhu Ji Guo Zongduo Sun Xiaochuan Tang Wenyuan

Department of Neurosurgery, First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China

关键词:
颅内动脉瘤血管介入血栓Solitaire支架
Keywords:
cerebral aneurysm endovascular treatment thrombus Solitaire stent
分类号:
R364.15; R651.12; R743.9
文献标志码:
A
摘要:

目的      探讨Solitaire支架在处理颅内动脉瘤介入栓塞术中急性血栓事件的有效性及安全性。      方法      分析2009年7月至2015年1月8例行颅内动脉瘤介入栓塞术中发生急性血管闭塞患者,其中6例患者使用Soliraire支架行机械取栓,2例患者行Soliraire支架重建血管血流再通,并完成颅内动脉瘤致密栓塞。分析即时血管再通效果,术后出血情况及缺血情况。      结果      8例患者均安全、有效地完成闭塞血管血流再通,6例患者机械取栓成功,2例患者多次取栓均未成功,考虑闭塞血管为斑块堵塞可能,予以支架覆盖斑块重建血管使血流再通;8例患者术后均未出现颅内出血及缺血征象,未见明显神经功能缺失。      结论      颅内动脉瘤血管内治疗术中急性栓塞事件发生时,Solitaire支架可通过机械取栓及支架重建血管方式能安全、有效地使血流再通。

Abstract:

Objective      To investigate the efficacy and safety of Solitaire stent in acute thromboembolism events during endovascular treatment of ruptured intracranial aneurysm.       Methods      From July 2009 to January 2014, there were 8 patients with acute thromboembolism occurring during embolization therapy for intracranial aneurysm. Six patients immediately received mechanical thrombectomy using Solitaire stent, and the rest 2 patients received vascular reconstruction using Solitaire stent and finished dense embolization of intracranial aneurysms.       Results      In 8 patients with thromboembolism events, successful mechanical thrombectomy was performed on 6 patients. The rest 2 patients failed in thrombectomy for several times, and considering plaque blockage probability, revascularization was finished using Solitaire stent to promote blood flow recanalization. After operation, the 8 patients had no intracranial hemorrhage and ischemia phenomena, and no obvious neurological deficits were observed.       Conclusion      When acute thromboembolism events occurred in endovascular treatment of intracranial aneurysm, Solitaire stent can provide safe and effective blood flow recanalization by mechanical thrombectomy and stent revascularization.

参考文献/References:

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更新日期/Last Update: 2016-06-07