Chaperon导引导管系统在颅内动脉瘤栓塞术中的应用  

The application of Chaperon guiding catheter system in endovascular treatment of intracranial aneurysms

作　　者：梁伟伦[1] 李旭东[1] 王世波[1] 冯涛[1] 范一木[1] 

机构地区：[1]天津市环湖医院十八病区,300060

出　　处：《介入放射学杂志》2014年第4期281-283,共3页Journal of Interventional Radiology

摘　　要：目的探讨Chaperon导引导管系统在颅内动脉瘤栓塞术中的应用。方法对20例患者行颅内动脉瘤栓塞术治疗。其中主动脉弓呈Ⅱ型及Ⅲ型弓11例,颈内动脉或椎动脉开口血管壁有粥样硬化斑块9例,采用Cordis导引导管系统难以到达所需血管。术中采用Chaperon导引导管系统,观察能否顺利到达所需血管位置。结果在颅内动脉瘤栓塞术中使用Chaperon导引导管系统,基本克服了患者主动脉弓等重要血管迂曲及血管壁存在粥样硬化斑块等不利因素,顺利到达所需血管位置。结论对于存在主动脉弓等重要血管迂曲及血管壁存在粥样硬化斑块的动脉瘤患者,Chaperon导引导管系统可在动脉瘤栓塞术中顺利到达所需血管位置。Objective To discuss the application of Chaperon guiding catheter system in endovascular treatment of intracranial aneurysms. Methods A total of 20 patients with intracranial aneurysms were enrolled in this study. The patients hadⅡorⅢtype of aortic arch （n=11） or sclerotic plague at the orifice of internal carotid or vertebral artery （n = 9）. Endovascular embolization of the intracranial aneurysm was carried out in all patients. By using Cordis guiding catheter system the catheter was placed into the target artery. Chaperon guiding catheter system was used during the procedure in order to determine whether the Chaperon guiding catheter could be smoothly placed into the target artery or not. Results When the Chaperon guiding catheter system was employed in the endovascular procedure, the difficulties of catheterization caused by the distortion of the aorta or by the plagues on the walls of arteries could be basically overcome. The Guiding catheter could be smoothly placed into the target arteries. Conclusion The Chaperon guiding catheter system can be successfully used in the endovascular treatment for the intracranial aneurysms, especially when the patient has tortuous aorta or there is sclerotic plague on the artery wall. （J Intervent Radiol, 2014, 23：281-283）.

关 键 词：动脉瘤 栓塞术 血管迂曲 血管壁斑块 Chaperon导引导管系统 

分 类 号：R739.41[医药卫生—肿瘤]