期刊文献+

血管内支架及电解可脱卸弹簧圈治疗颅内椎动脉梭形动脉瘤 被引量:58

Treatment of an intracranial fusiform vertebral artery aneurysm with endovascular stent and Guglielmi detachable coils
下载PDF
导出
摘要 目的 :报告联合使用支架及电解可脱卸弹簧圈 (GDC)治疗颅内梭形动脉瘤的临床体会。方法 :1例蛛网膜下腔出血的 5 0岁男性患者 ,数字减影血管造影 (DSA)、计算机断层扫描血管造影 (CTA)、磁共振血管造影 (MRA)检查显示右椎动脉颅内段梭形动脉瘤 ,大小 8.9mm× 6 .8mm,瘤颈宽 8.9m m,瘤颈 /体比 >1。于动脉瘤破裂出血后 35 d行血管内介入治疗 ,首先将冠状动脉支架跨动脉瘤颈放置 ,通过支架的网孔将微导管输送入动脉瘤腔 ,填入 GDC。 结果 :支架定位准确 ,GDC致密填塞 ,载瘤动脉及小脑后下、前下动脉均通畅 ,患者术后 7d痊愈出院。 结论 :联合使用支架及微弹簧圈可能成为治疗梭形及宽颈动脉瘤的有效方法。 Objective: To report on a case of intracranial vetebral artery fusiform aneurysm treated by combined endovascular stenting and Guglielmi detachable coils. Methods: A middle aged male presented with subarachnoid hemorrhage. DSA, CTA, and MRA revealed an intracranial vertebral artery fusiform aneurysm. The aneurysm measured 8.9 mm×6.8 mm, with a large neck (8.9 mm) and neck/dome ratio>1. Endovascular therapy was given 35 days after hemorrhage. A coronary stent was implanted across the neck of the aneurysm. A microcatheter was introduced into the aneurysm sac through stent mesh, GDCs were used to embolize the aneurysm. Results: The stent was stable, and the aneurysm was obliterated by dense packing with GDCs. The patient was discharged 7 days after the treatment, with patency of the parent artery, PICA, and AICA. Conclusion: Endovascular therapy by stent implantation and microcoil placement may become a viable option for the treatment of fusiform or wide necked aneurysms. [
出处 《第二军医大学学报》 CAS CSCD 北大核心 2000年第11期1052-1054,F003,共4页 Academic Journal of Second Military Medical University
基金 上海市医学发展基金重点研究课题 ( 98ZD0 0 2 )
关键词 电解可脱卸弹簧圈 颅内梭形动脉瘤 血管内支架 intracranial aneurysm Guglielmi detachable coils stent therapy
  • 相关文献

参考文献6

  • 1[1]Moret J,Cognard C,Weill A,et al.Reconstruction technic in the treatment of wide-neck intracranial aneurysms.Long-term angiographic and clinical results.Apropos of 56 cases[J].J Neuroradiol,1997,24 (1):30-44.
  • 2[2]Higashida RT,Smith W,Gress D,et al.Intravascular stent and endovascular coil placement for a ruptured fusiform a neurysm of the basilar artery[J].J Neurosurg,1997,87(6):944-949.
  • 3[3]Lylyk P,Ceratto R,Hurvitz D,et al.Treatment of a vertebral dissecting aneurysm with stents and coils:technical case report[J].Neurosurgery,1998,43(2):385-388.
  • 4[4]Sekhon LH,Morgan MK,Sorby W,et al.Combined endovascular stent implantation and endovascular coil placement for the treatment of a wide-necked vertebral artery aneurysm[J].Neurosurgery,1998,43(2):380-383.[J].Neurosurgery,1998,43(2):380-383.
  • 5[5]Bracard S,Anxionnat R,Costa DA,et al.Combined endovascular stenting and endosaccular coiling for the treatment of a wide-necked intracranial vertebral artery aneurysm[J].Invest Neuroradiol,1999,5(3):245-249.
  • 6[6]Lanzino G,Wakhloo AK,Fessler RD,et al.Efficacy and current limitations of intravascular stents for intracranial internal carotid,vertebral,and basilar artery aneurysms[J].J Neurosurgery,1999,91(4):538-546.

同被引文献389

引证文献58

二级引证文献463

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部