[1]田伟伟　朱辰路　孙阳阳　 黄德俊　 李宗正.血管内介入治疗椎动脉颅内段夹层动脉瘤[J].中国临床神经外科杂志,2021,26(05):324-326.[doi:10.13798/j.issn.1009-153X.2021.05.002]
　TIAN Wei-wei,ZHU Chen-lu,SUN Yang-yang,et al.Endovascular interventional therapy for patients with intracranial vertebral artery dissecting aneurysm (report of 24 cases)[J].,2021,26(05):324-326.[doi:10.13798/j.issn.1009-153X.2021.05.002]
点击复制

血管内介入治疗椎动脉颅内段夹层动脉瘤()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年05期
页码:
324-326
栏目:
论著
出版日期:
2021-05-25

文章信息/Info

Title:
Endovascular interventional therapy for patients with intracranial vertebral artery dissecting aneurysm (report of 24 cases)
文章编号:
1009-153X（2021）05-0324-03
作者:
田伟伟　朱辰路　孙阳阳　 黄德俊　 李宗正
750000 银川，宁夏医科大学临床医学院（田伟伟、孙阳阳）；730000 兰州，兰州大学第二临床医学院（朱辰路）；750000 银川，宁夏医科大学总医院神经外科（黄德俊、李宗正）
Author(s):
TIAN Wei-wei1;  ZHU Chen-lu2;  SUN Yang-yang1;  HUANG De-jun3;  LI Zong-zheng3.
1. Clinical Medical College, Ningxia Medical University, Yinchuan 750000, China; 2. Second Clinical College, Lanzhou University, Lanzhou 730000, China; 3. Department of Neurosurgery, General Hospital of Ningxia Medical University, Yinchuan 750000, China
关键词:
椎动脉颅内段夹层动脉瘤; 血管内介入治疗; 支架; 疗效
Keywords:
Intracranial vertebral artery dissecting aneurysm;  Endovascular treatment;  Stent;  Curative effect
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2021.05.002
文献标志码:
A
摘要:
目的 探讨血管内介入治疗椎动脉颅内段夹层动脉瘤（IVADA）的疗效。方法 回顾性分析2015年1月至2018年12月采用血管内介入技术治疗的24例IVADA的临床资料。结果 23例为单侧椎动脉夹层动脉瘤，1例为双侧椎动脉夹层动脉瘤。25枚夹层动脉瘤中，支架辅助弹簧圈栓塞18枚，单纯双支架治疗2枚，闭塞夹层动脉瘤及载瘤动脉治疗5枚；术后即刻造影显示Raymond分级Ⅰ级16枚，Ⅱ级8枚，Ⅲ级1枚。术后随访6~18个月，改良Rankin量表评分0~2分23例，3分1例；DSA复查显示2例复发，考虑相对稳定，继续随访观察。结论 血管内介入治疗IVADA疗效显著，但具体栓塞方法应进行个体化选择。
Abstract:
Objective To investigate the clinical efficacy of endovascular treatment for the patients with intracranial vertebral artery dissecting aneurysm (IVADA). Methods The clinical data of 24 patients with IVADA who received endovascular treatment fron January 2015 to December 2018 were analyzed retrospectively. Results Of 24 patients, 1 patient suffered from bilateral dissecting aneurysms and the other 23 were unilateral. Of 25 dissecting aneurysms, 18 dissecting aneurysms were treated with stent-assisted coiling, 2 with simple stenting, and 5 with occlusion of the proximal vertebral arteries and aneurysms. Immediate postoperative radiography showed Raymond grade Ⅰ in 16 aneurysms, grade Ⅱ in 8 and grade Ⅲ in 1. The follow-up (6~18 months) outcomes showed modified Rankin scale score of 0~2 in 23 patients and 3 in 1. DSA re-examination showed recurrence of aneusysm in 2 patients. Conclusion Endovascular treatment has significant curative effects on the patients with IVADA, but the specific embolization method should be individualized.

参考文献/References:

[1] 李修珍，纪文军，康慧斌，等. 颅内外动脉夹层及夹层动脉瘤的发病机制研究进展[J]. 中国卒中杂志，2015，10（11）：958-961.
[2] 杨新健，刘建民，张义森. 颅内夹层动脉瘤的血管内治疗中国专家共识[J]. 中华神经外科杂志，2018，34（8）：757-763.
[3] 李宝民， 梁永平， 刘新峰，等. 多支架并行置放和重塑形治疗巨大椎-基底动脉夹层动脉瘤[J]. 中华医学信息导报， 2015，53（8）：603-607.
[4] 解　锋，张鸿祺，张　鹏，等. 累及小脑下后动脉起始部椎动脉夹层动脉瘤的血管内治疗[J]. 中国脑血管病杂志，2013，10（3）：143-145.
[5] Trivelato FP, Salles MT, Castro GD, et al. Endovascular treatment of isolated posterior inferior cerebellar artery dissecting aneurysms: parent artery occlusion or selective coiling [J]. Clin Neuroradiol, 2014, 24: 255-261.
[6] 袁　强，步星耀，孙彦熙，等. 动脉瘤性蛛网膜下腔出血并脑积水的防治研究[J]. 中华神经外科疾病研究杂志，2015，14（1）：28-32.
[7] Zhang Y, Wang Y, Sui B, et al. Magnetic resonance imaging follow-up of large or giant vertebrobasilar dissecting aneu-rysms after total embolization on angiography [J]. WorldNeurosurg, 2016, 91: 218-227.
[8] Kim B, Shin Y, Kim S, et al. Incidence and risk factors of recurrence after endovascular treatment of intracranial vertebrobasilar dissecting aneurysms [J]. Stroke, 2011, 42(9): 2425.
[9] Kalani M, Yashar S, Zabramski M, et al. Bypass and flow reduction for complex basilar and vertebrobasilar junction aneurysms [J]. Neurosurgery, 2013, 72: 763-776.
[10] Trivelato F, Rezende M, Fonseca L, et al. Pipeline emboli-zation device for the treatment of a traumatic intracranial aneurysm in a child [J]. Childs Nerv Syst, 2017, 33: 869-872.
[11] 杨金亮，罗　靖，张永亮，等. 颅内动脉瘤患者介入栓塞手术时机探讨及其预后的影响因素分析[J]. 现代生物医学进展，2020，20（18）： 3510-3514.

相似文献/References:

[1]张申起　彭　彬　许　州　李明昌　田道锋　刘宝辉　王军民　陈谦学.外伤性颈动脉海绵窦瘘合并假性动脉瘤的血管内介入治疗[J].中国临床神经外科杂志,2018,(11):705.[doi:10.13798/j.issn.1009-153X.2017.11.001]
　ZHANG Shen-qi,PENG Bin,XU Zhou,et al.Endovascular treatment of traumatic carotid cavernous fistula associated with pseudoaneurysms[J].,2018,(05):705.[doi:10.13798/j.issn.1009-153X.2017.11.001]
[2]何　超 徐　翀 李远超.急性基底动脉闭塞血管内介入治疗的疗效及预后不良的危险因素[J].中国临床神经外科杂志,2019,(07):399.[doi:10.13798/j.issn.1009-153X.2019.07.006]
　HE Chao,XU Chong,LI Yuan-chao. . Department of Neurosurgery,et al.Effects of endovascular treatment on acute basilar arteries occlusions and analysis of risk factors related to poor prognosis[J].,2019,(05):399.[doi:10.13798/j.issn.1009-153X.2019.07.006]
[3]谢　兵　丁明祥　赵东海等.抗凝联合血管内介入治疗重症脑静脉窦血栓形成[J].中国临床神经外科杂志,2021,26(11):866.[doi:10.13798/j.issn.1009-153X.2021.11.014]
[4]黄鑫根,周小兵,张林峰,等.定量DSA在血流导向装置治疗颅内动脉瘤中的应用[J].中国临床神经外科杂志,2022,27(11):943.[doi:10.13798/j.issn.1009-153X.2022.11.020]
[5]王鹏,刘学武,高五州.颅内破裂动脉瘤分期介入治疗体会[J].中国临床神经外科杂志,2022,27(12):1016.[doi:10.13798/j.issn.1009-153X.2022.12.020]
[6]陈菲,华莎,苏晓娟,等.因误诊致长期未正确诊治的硬脊膜外动静脉瘘的护理经验[J].中国临床神经外科杂志,2023,28(03):194.[doi:10.13798/j.issn.1009-153X.2023.03.016]
[7]钟俊,徐剑峰,刘阳,等.颅内后循环动脉瘤出血急性期介入治疗分析[J].中国临床神经外科杂志,2023,28(04):243.[doi:10.13798/j.issn.1009-153X.2023.04.005]
　ZHONG Jun,XU Jian-feng,LIU Yang,et al.Interventional therapy for patients with ruptured posterior circulation aneurysms at acute stage: report of 22 cases[J].,2023,28(05):243.[doi:10.13798/j.issn.1009-153X.2023.04.005]
[8]唐跃,许松,黄春林,等.基底动脉狭窄介入术后替罗非班诱发重度血小板减少症1例[J].中国临床神经外科杂志,2023,28(04):285.[doi:10.13798/j.issn.1009-153X.2023.04.023]
[9]艾克拜尔·加马力,谢克莱·阿布力肯,赵晶,等.急性缺血性脑卒中的血管内介入治疗体会[J].中国临床神经外科杂志,2023,28(07):468.[doi:10.13798/j.issn.1009-153X.2023.07.016]
[10]吴长松,陈海新,李斌,等.双能CT早期鉴别急性缺血性脑卒中血管内治疗后脑出血的临床应用[J].中国临床神经外科杂志,2024,29(01):25.[doi:10.13798/j.issn.1009-153X.2024.01.008]
　WU Chang-song,CHENG Hai-xin,LI Bin,et al.Clinical application of dual-energy CT for early identification of intracranial hemorrhage after stent thrombectomy for acute ischemic stroke[J].,2024,29(05):25.[doi:10.13798/j.issn.1009-153X.2024.01.008]

备注/Memo

备注/Memo:
通讯作者：李宗正，E-mail：fangyuan110@163.com
更新日期/Last Update: 2021-05-25