[1]蒋海平　赵世光　史怀璋　韩大勇　王春雷　陈　鑫　王开开　田　松.双支架错位重叠技术辅助弹簧圈栓塞治疗颈内动脉床突上段血泡样动脉瘤[J].中国临床神经外科杂志,2018,(11):708-710.[doi:10.13798/j.issn.1009-153X.2017.11.002]
　JIANG Hai-ping,ZHAO Shi-guang,SHI Huai-zhang,et al.Treatment of blood blister-like aneurysms with double stents dislocation overlapping technique-assisted coils embolization[J].,2018,(11):708-710.[doi:10.13798/j.issn.1009-153X.2017.11.002]
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双支架错位重叠技术辅助弹簧圈栓塞治疗颈内动脉床突上段血泡样动脉瘤()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年11期
页码:
708-710
栏目:
论著
出版日期:
2018-11-25

文章信息/Info

Title:
Treatment of blood blister-like aneurysms with double stents dislocation overlapping technique-assisted coils embolization
作者:
蒋海平　赵世光　史怀璋　韩大勇　王春雷　陈　鑫　王开开　田　松
150001 哈尔滨，哈尔滨医科大学附属第一医院神经外科(蒋海平、赵世光、史怀璋、韩大勇、王春雷、陈　鑫、王开开)；422000 湖南邵阳，邵阳医学院附属第一医院神经外科(蒋海平、田　松)
Author(s):
JIANG Hai-ping1; 2;  ZHAO Shi-guang1;  SHI Huai-zhang1;  HAN Da-yong1;  WANG Chun-lei1;  CHEN Xin1;  WANG Kai-kai1;  TIAN Song2.
1. Department of Neurosurgery, The First Affiliated Hospital, Harbin Medical University, Harbin 150001, China; 2. Department of Neurosurgery, The First Affiliated Hospital, Shaoyang University, Shaoyang 422000, China
关键词:
血泡样动脉瘤; 颈内动脉床突上段; 双支架错位重叠技术; 血管内治疗; 弹簧圈; 预后
Keywords:
Blood blister-like aneurysms;  Double stents dislocation overlapping technique;  Coils;  Endovascular embolization;  Effect;  Safeness
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2017.11.002
文献标志码:
A
摘要:
目的 探讨双支架错位重叠技术辅助弹簧圈栓塞治疗颈内动脉床突上段血泡样动脉瘤（BBAs）的可行性、有效性及预后。方法 回顾性分析2014年7月至2018年6月采用双支架技术辅助弹簧圈栓塞治疗的9例BBAs的临床资料。结果 9例均成功实施双支架错位重叠技术辅助弹簧圈栓塞治疗，术中即刻影像Raymond分级Ⅰ级5例，Ⅱ级1例，Ⅲ级3例。出院时改良Rankin量表（mRS）评分0分4例，3分2例，4分1例，死亡2例；术后90 d mRS评分0分5例，1分1例，3分1例。7例存活病人影像学随访1周~24个月，动脉瘤均完全闭塞，载流动脉无狭窄。结论 双支架错位重叠技术辅助弹簧圈栓塞治疗颈内动脉床突上段BBAs是一种可行、有效的方法，可降低动脉瘤术后复发率，改善病人预后。
Abstract:
Objective To analyze the feasibility, effectiveness and prognosis of blood blister-like aneurysms (BBAs) in the supraclinoid portion of the internal carotid artery with double stents dislocation overlapping technique-assisted coils embolization. Methods The clinical data of 9 patients with BBAs, who were treated by double stents dislocation overlapping technique-assisted coils embolization from July, 2014 to June, 2018, were analyzed retrospectively, including the data of diagnosis, treatment, following-up and so on. Results These 9 patients were successfully treated with double stents dislocation overlapping technique-assisted coils embolization. DSA performed immediately after the embolization showed that the embolization effect was imaging Raymond grade Ⅰ in 5 patients, grade Ⅱ in 1, and grade Ⅲ in 3. The modified Rankin scale (mRS) scores on the discharged were 0 point in 4 patients, 3 points in 2 and 4 points in 1, and 2 patients died. The following up 90 days after the operation showed that mRS scores were 0 point in 5 patients, 1 point in 1 and 3 points in 1. All the aneurysms were completely occluded and there was not stenosis of the parent arteries in all the 7 survivors followed up by imaging. Conclusion Double stents dislocation overlapping technique-assisted coils embolization is a feasible and effective method to treat BBAs.

参考文献/References:


[1] Abe M, Tabuchi K, Yokoyama H. Blood blisterlike aneury- sms of the internal carotid artery [J]. J Neurosurg, 1998, 89: 419-424.
[2] Gonzalez AM, Narata AP, Yilmaz H, et al. Blood blister- like aneurysms: single center experience and systematic literature review [J]. Eur Radiol, 2014, 83: 197-205.
[3] Kim BM, Chung EC, Park SI, et al. Treatment of blood blister-like aneurysmof the internal carotid artery with stent-assisted coil embolization followed by stent-within- a-stent technique: case report [J]. J Neurosurg, 2007, 107: 1211-1213.
[4] Song J, Oh S, Kim MJ, et al. Endovascular treatment of rup- tured blood blister-like aneurysms with multiple (≥3) overlapping Enterprise stents and coiling [J]. Acta Neuro- chir (Wien), 2016, 158: 803-809.
[5] Ihn YK, Kim SH, Sung JH. The efficacy of endovascular treatment of ruptured blood blister-like aneurysms using stent-assisted coil embolization [J]. Interv Neuroradiol, 2012, 18: 432-441.
[6] 方亦斌，刘建民，黄清海，等. 支架辅助弹簧圈栓塞术治疗 颈内动脉血泡样动脉瘤 [J]. 介入放射学杂志，2010，19 （5）：349-353.
[7] Kim YW, Park IS, Baik MW. Endovascular treatment of blood blister-like aneurysms using multiple self-expanding stents [J]. Korean Neurosurg Soc, 2011, 49: 116-119.
[8] Cerejo R, Bain M, John S, et al. Flow diverter treatment of cerebral blister aneurysms [J]. Neuroradiology, 2017, 59: 1285-1290.
[9] Peschillo S, Cannizzaro D, Caporlingua A. A systematic review and meta-analysis of treatment and outcome of blister-like aneurysms [J]. AJNR Am J Neuroradiol, 2016, 37: 856-861.
[10] Chalouhi N, Jabbour P, Kung D. Safety and efficacy of tirofi- ban instent-assisted coil embolization of intracranial aneu- rysms [J]. Neurosurgery, 2012, 71: 710-714.

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备注/Memo

备注/Memo:
作者单位：150001 哈尔滨，哈尔滨医科大学附属第一医院神经外科(蒋海平、赵世光、史怀璋、韩大勇、王春雷、陈　鑫、王开开)；422000 湖南邵阳，邵阳医学院附属第一医院神经外科(蒋海平、田　松) 通讯作者：赵世光，E-mail：guangsz@hotmail.com
更新日期/Last Update: 2018-11-20