改良血管内逆向回抽技术在颅内大型动脉瘤夹闭术中的应用  

Microsurgical treatment of large and giant intracranial aneurysms using a modified endovascular suction decompression technique with Invatec Mo.Ma device

作　　者：高旭[1] 于春泳[1] 董玉书[1] 张海峰[1] 王晓刚[1] 李志清[1] 赵玉龙[1] 梁国标[1] 

机构地区：[1]沈阳军区总医院神经外科,沈阳110840

出　　处：《中国临床神经外科杂志》2017年第7期451-453,共3页Chinese Journal of Clinical Neurosurgery

基　　金：国家自然科学基金(81671174;81300990)

摘　　要：目的探讨应用Mo.Ma装置辅助的改良血管内逆向回抽技术夹闭大型或巨大颅内动脉瘤的可行性。方法回顾性分析2013年12月至2015年12月应用改良血管内逆向回抽技术夹闭的15例大型或巨大颅内动脉瘤的临床资料。结果 15例中,14例成功夹闭动脉瘤,并保留载瘤动脉,未发生血管内操作相关并发症;1例死亡。存活的14例平均随访15.3个月,改良Rankin量表评分0~1分11例,3分2例,4分1例。结论改良血管内逆向回抽技术在大型或巨大动脉瘤夹闭术中应用安全、有效。Objective To explore the feasibility to facilitate clipping of large and giant intracranial aneurysms by modified endovascular retrograde suction decompression （RSD） with Mo.Ma device. Methods The clinical data of 15 patients with large and giant intracranial aneurysms, who underwent microsurgery under the assistance of the modified RSD technique with Mo.Ma device were analyzed retrospectively. Results Of 15 patients, 14 received successful clipping of the aneurysmal necks and 1 died of severe subarachnoid hemorrhage and postoperative heart failure. No complications related to the modified RSD occurred in all the patients. The following-up, ranging from 6 to 36 months with a mean time of 15.3 months, showed that modified Rankin scale score was 0-1 point in 11 patients, 3 points in 2 and 1 point in 1. Conclusion The modified RSD with Mo.Ma device is helpful to facilitating microsurgery for large and giant intracranial aneurysms.

关 键 词：颅内动脉瘤 大型动脉瘤 巨大动脉瘤 Mo.Ma装置 逆向回抽 夹闭术 

分 类 号：R743.9[医药卫生—神经病学与精神病学] R651.12[医药卫生—临床医学]