[1]马生辉,秦海林,赵曰圆,等.瘤腔内支架血流重建术治疗从瘤体发出分支血管的颅内动脉瘤：附2例报道并文献复习[J].中国临床神经外科杂志,2024,29(12):711-715.[doi:10.13798/j.issn.1009-153X.2024.12.002]
　MA Sheng-hui,QIN Hai-lin,ZHAO Yue-yuan,et al.Clinical efficacy of stents in the aneurysmal cavity for flow reconstruction in the treatment of intracranial aneurysms with branch vessels emanating from the aneurysm sac: two case reports and literature review[J].,2024,29(12):711-715.[doi:10.13798/j.issn.1009-153X.2024.12.002]
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瘤腔内支架血流重建术治疗从瘤体发出分支血管的颅内动脉瘤：附2例报道并文献复习()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年12期
页码:
711-715
栏目:
论著
出版日期:
2024-12-30

文章信息/Info

Title:
Clinical efficacy of stents in the aneurysmal cavity for flow reconstruction in the treatment of intracranial aneurysms with branch vessels emanating from the aneurysm sac: two case reports and literature review
文章编号:
1009-153X（2024）12-0711-05
作者:
马生辉; 秦海林; 赵曰圆; 秦杰; 安学锋; 王荧; 黄河; 宋健; 杨铭; 马廉亭
430070武汉，中国人民解放军中部战区总医院神经外科（马生辉、秦海林、赵曰圆、秦杰、安学锋、王荧、黄河、宋健、杨铭、马廉亭）
Author(s):
MA Sheng-hui;  QIN Hai-lin;  ZHAO Yue-yuan;  QIN Jie;  AN Xue-feng;  WANG Ying;  HUANG He;  SONG Jian;  YANG Ming;  MA Lian-ting
Department of Neurosurgery, General Hospital of Central Theater Command, PLA, Wuhan 430070, China
关键词:
颅内动脉瘤; 介入治疗; 支架; 弹簧圈; 瘤腔内血流重建术
Keywords:
Intracranial aneurysm;  Interventional treatment;  Stents;  Coils;  Aneurysmal cavity flow reconstruction
分类号:
R 743.9: R 815.2
DOI:
10.13798/j.issn.1009-153X.2024.12.002
文献标志码:
A
摘要:
目的 探讨瘤腔内支架血流重建术治疗从瘤体发出分支血管的颅内动脉瘤的可行性及有效性。方法 回顾性分析2014年1月至2015年12月收治的2例颅内动脉瘤的临床资料。结果 1例未破裂动脉瘤，1例破裂动脉瘤；2例动脉瘤有重要功能的分支血管从瘤体发出，瘤腔内应用支架重建血流辅助弹簧圈栓塞动脉瘤。术后造影显示2例动脉瘤均致密栓塞，分支血管通畅。术后随访9、10年，动脉瘤无复发，神经功能完全正常。结论 瘤腔内支架血流重建辅助弹簧圈栓塞治疗从瘤体发出功能血管分支的动脉瘤是可行的、有效的，不仅可以治疗动脉瘤、防止动脉瘤再次破裂出血，还可以重建从瘤体发出功能分支血管的血流，确保脑功能正常。
Abstract:
Objective To investigate the feasibility and efficacy of stents in the aneurysmal cavity for flow reconstruction in the treatment of intracranial aneurysms with branch vessels emanating from the aneurysm sac. Methods The clinical data of 2 patients with intracranial aneurysms admitted from January 2014 to December 2015 were retrospectively analyzed. Results One was an unruptured aneurysm and the other was a ruptured aneurysm; for both cases, important functional branch vessels emanated from the aneurysm sac, and stents were applied in the aneurysmal cavity to reconstruct the blood flow and assist in coil embolization of the aneurysms. Postoperative angiography revealed that both aneurysms were densely embolized and the branch vessels were patent. The postoperative follow-up lasted for 9 and 10 years, respectively, and no recurrence of aneurysms was observed, with completely normal neurological functions. Conclusion Stents in the aneurysmal cavity for flow reconstruction combined with coil embolization for the treatment of aneurysms with functional vascular branches emanating from the aneurysm sac is feasible and effective. It not only treats the aneurysms and prevents re-rupture and hemorrhage but also reconstructs the blood flow of the functional branch vessels emanating from the aneurysm sac, ensuring normal brain function.

参考文献/References:

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备注/Memo

备注/Memo:
（2024-08-11收稿，2024-11-11修回）
通信作者：杨　铭，Email：yangming3060@sina.com
马廉亭，Email：mlt1937@163.com
更新日期/Last Update: 2024-12-30