[1]张　扬　余　舰　晁迎九　魏建军　高　歌　陈　昱　顾大群.支架辅助弹簧圈栓塞治疗宽颈前交通动脉动脉瘤的临床分析[J].中国临床神经外科杂志,2015,(08):473-475.[doi:10.13798/j.issn.1009-153X.2015.08.009]
　ZHANG Yang,YU Jian,CHAO Ying-jiu,et al.Stent-assisted coils embolization of wide-necked anterior communicating artery aneurysms (report of 35 cases)[J].,2015,(08):473-475.[doi:10.13798/j.issn.1009-153X.2015.08.009]
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支架辅助弹簧圈栓塞治疗宽颈前交通动脉动脉瘤的临床分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年08期
页码:
473-475
栏目:
论著
出版日期:
2015-08-25

文章信息/Info

Title:
Stent-assisted coils embolization of wide-necked anterior communicating artery aneurysms (report of 35 cases)
文章编号:
1009-153X（2015）08-0473-03
作者:
张　扬　余　舰　晁迎九　魏建军　高　歌　陈　昱　顾大群
230036 合肥，安徽省立医院神经外科（张　扬、余　舰、晁迎九、魏建军、高　歌、陈　昱、顾大群）
Author(s):
ZHANG Yang;  YU Jian;  CHAO Ying-jiu;  WEI Jian-jun;  GAO Ge;  CHEN Yu;  GU Da-qun.
Department of Neurosurgery, Anhui Provincial Hospital, Hefei 230036, China
关键词:
前交通动脉动脉瘤; 宽颈前交通动脉瘤; 支架; 弹簧圈; 血管内栓塞
Keywords:
Anterior communicating artery aneurysms;  Stent;  Coils;  Endovascular embolization
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2015.08.009
文献标志码:
A
摘要:
目的 探讨支架辅助弹簧圈栓塞治疗宽颈前交通动脉动脉瘤的安全性和有效性。方法 回顾性分析2012年1月至2014年3月35例采用支架辅助弹簧圈栓塞治疗宽颈前交通动脉动脉瘤患者的临床资料，术后随访6~12个月。结果 全部患者均成功栓塞，其中支架置入同侧A2段19例，对侧A2段16例。术后即刻造影显示，致密栓塞（栓塞程度>95%）27例，近全栓塞（90%~95%）6例，部分栓塞（<90%）2例。载瘤动脉保留完好。DSA随访6~12个月，33例未见明显动脉瘤复发，2例动脉瘤瘤颈部部分显影，考虑复发。按GOS评分评估预后，5分28例，4分3例，3分2例，2分2例。结论 支架辅助弹簧圈栓塞治疗宽颈前交通动脉动脉瘤安全、有效，致密栓塞度高，载瘤动脉保护良好，复发率低，但长期疗效需进一步观察。
Abstract:
Objective To investigate the safety of stent-assisted coils embolization of wide-necked anterior communicating artery aneurysms and its effects. Methods The clinical data of 35 patients with wide-necked anterior communicating artery aneurysms, who were treated by stent-assisted coils embolization from January, 2012 to March, 2014, were analyzed retrospectively. All the patients were followed up from 6 to 24 months after the treatment. The curative effect and endovascular embolization safety were assessed. Results All the aneurysms were successfully embolized. Of 35 aneurysms, 27 were totally occluded, 6 subtotally and 2 part. The parent arteries were retained intactly in all the patients. All the patients were recovered well after the operation. Of 35 patients followed up by DSA from 6 to 12 months, 33 had no recurrence of aneurysms and 2 had recurrence of aneurysms. Conclusions The stent-assisted coils embolization of wide-necked anterior communicating artery aneurysms is safe and effective. The high rate of total occlusion of the aneurysms, good patency of the parent arteries and low recurrence rate of the aneurysms may be reached by the stent-assisted coils embolization in the patients with wide-necked anterior communicating artery aneurysms.

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更新日期/Last Update: 2016-08-25