国产电解可脱弹簧圈的初步临床应用  

Primary clinical application of JASPER electrolytically detachable coils in neurovascular intervention

作　　者：姜鹏[1] 穆士卿[1] 张友平[1] 刘爱华[1] 吕明[1] 张静波[1] 姜除寒[1] 杨新健[1] 李佑祥[1] 吴中学[1] 

机构地区：[1]首都医科大学附属北京天坛医院神经介入放射科、北京市神经外科研究所神经介入研究室,100050

出　　处：《中华神经外科杂志》2011年第7期656-659,共4页Chinese Journal of Neurosurgery

基　　金：北京市科技新星奖励计划（2009B30）;北京市卫生系统高层次卫生技术人才培养计划（学科骨干,2009-3-22）;卫生公益性行业科研专项：神经介入技术的研发、转化与推广应用（200902004-04）

摘　　要：目的 初步总结了国产JASPER电解可脱弹簧圈的临床应用经验.方法 采用117枚国产JASPER电解可脱弹簧圈栓塞颅内脑血管病共20例,其中颅内动脉瘤15例,硬脑膜动静脉瘘4例,外伤性颈动脉海绵窦瘘1例.20例中,单独应用JASPER电解可脱弹簧圈治疗9例,与其他品牌可脱弹簧圈联合使用者11例.结果 国产JASPER电解可脱弹簧圈在顺滑程度、解旋情况、软硬程度、成篮效果、致密填塞情况与进口同类产品无明显差别,电解脱时间为（41.19±8.68）s,15例颅内动脉瘤完全栓塞10例,次全栓塞5例;4例硬脑膜动静脉瘘3例完全栓塞,部分栓塞1例;1例外伤性颈动脉海绵窦瘘完全栓塞.数字减影造影（DSA）复查7例无复发迹象.结论 国产JASPER电解可脱弹簧圈性能可靠,临床效果确实.Objective To report the primary clinical experience of JASPER electrolytically detachable coils in neurovascular intervention. Method 117 coils were used in 20 patients including 15 aneurysms ,4 dural arterio - venous fistula （ DAVF） and 1 CCF. Nine cases were embolized only with JASPER electrolytically detachable coils,and 11 cases were embolized by combined using of electrolytically detachable coils and other detachable coils. Results There was no significant difference between JASPER electrolytically detachable coils and other coils in visibility,flexibility,effect of forming a basket,uncoiling, dense packing and convenience of deployment The time needed for detachment was（41. 19 ± 8. 68） s. Ten aneurysms were totally embolized, the other 5 were subtotally occluded. Three DAVFs were totally embolized, the other one was subtotally occluded. One CCF was totally embolized. Seven cases of follow-up by DSA showed that there was no recurrence. Conclusions The efficiency and safety of JASPER electrolytically detachable coils are confirmed. The extensive use of JASPER electrolytically detachable coils could decrease the expense of patients for endovascular treatment.

关 键 词：可控电解弹簧圈 栓塞 颅内动脉瘤 

分 类 号：R651.1[医药卫生—外科学]