支架辅助弹簧圈栓塞术治疗颅内宽颈动脉瘤  被引量:2

Stent-assisted coiling embolism for Treatment of wide-necked intracranial aneurysms

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作  者:刘培华[1] 王浩[1] 

机构地区:[1]湖南石门县人民医院神经内科,石门415300

出  处:《中国实用神经疾病杂志》2013年第20期31-33,共3页Chinese Journal of Practical Nervous Diseases

摘  要:目的总结支架辅助弹簧圈栓塞术治疗颅内宽颈动脉瘤的体会。方法回顾性分析2010-03—2012-03湖南省人民医院神经内科经支架辅助弹簧圈栓塞术治疗的颅内宽颈动脉瘤患者32例。结果 32例支架辅助弹簧圈栓塞术的动脉瘤,26例完全栓塞,6例大部分栓塞,其中2例发生大面积脑梗死,1例死亡。结论支架辅助弹簧圈栓塞术治疗颅内宽颈动脉瘤是安全、有效的临床技术,但须术前充分评估支架植入后对血流动力学的改变及对血管走形的可能影响。Objective To summarize the experience of the technique of stent-assisted coiling(SAC) to treat wide-necked intracranial aneurysms. Methods A retrospective analysis of 32 wide-necked intracranial aneurysms of the department of neurology of Hunan Provincial People's hospital which underwent 32 endovascular procedures performed by SAC was reported. Results 26 of 32 aneurysms were completely occluded and 6 were incompletely occluded. Among these cases, two patients suf- fered large area cerebral infarction after operation, including lcase of death. Conclusion Using SAC to treat wide-necked intracranial aneurysm is a safe and effective clinical therapy, while it need sufficient preoperative evaluation of stent implantation on hemodynamic changes and its possible effects on vascular form.

关 键 词:颅内宽颈动脉瘤 支架辅助弹簧圈栓塞术 

分 类 号:R743.35[医药卫生—神经病学与精神病学]

 

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