Smart Mask技术在颅内动脉瘤血管内栓塞术中的应用价值  

Application value of Smart Mask technology in endovascular embolization of intracranial aneurysms

作　　者：张凯[1] 黄清海[2] 吕楠[2] 毛燕君[1] 张军[1] 王永春[1] 沈辉[1] 丁海岭[1] 戴力赫 扈艳超 侯林 高也淇 

机构地区：[1]第二军医大学附属长海医院放射科,上海200433 [2]第二军医大学附属长海医院神经外科,上海200433

出　　处：《中国脑血管病杂志》2017年第12期644-647,共4页Chinese Journal of Cerebrovascular Diseases

摘　　要：目的评价血管内介入治疗中Smart Mask技术指导微导管到位进行颅内动脉瘤栓塞的应用价值。方法回顾性连续收集2016年8月至12月第二军医大学附属长海医院神经外科61例颅内未破裂动脉瘤患者的DSA资料,对比Smart Mask技术组(31例)与常规路径图组(30例)导丝导管到达动脉瘤并进行弹簧圈栓塞的情况,观察指标包括对比剂用量、X线曝光量、手术时间的差异等。结果 Smart Mask技术组与路径图组在动脉瘤栓塞术中的对比剂用量分别为(192±37)和(215±40)ml,X线曝光量分别为(5 913±1 682)和(6 975±2 036)mGy,手术时间分别为(2.62±0.29)和(2.94±0.35)h,差异均有统计学意义(均P<0.05)。结论运用Smart Mask技术辅助血管内介入栓塞颅内动脉瘤可以有效缩短手术时间,减少X线辐射量和对比剂的用量,降低手术风险。Objective To evaluate the application value of Smart Mask technology guiding micro-catheter in place for intracranial aneurysm embolization in endovascular interventional treatment.Methods The DSA data of 61 consecutive patients with unruptured intracranial aneurysm in the Department Neurosurgery,Changhai Hospital,the Second Military Medical University from August 5 to December 20,2016 were collected retrospectively. The conditions of the guildewire catheter reaching the aneurysms and the coil embolization in the Smart Mask technology group（ n = 31） and conventional road map group（ n = 30） were compared. The observation indexes included the differences in contrast agent dosage,exposure time,and operation time. Results The contrast agent dosage of the Smart Mask technology group and road map technology group were 192 ± 37 and 215 ± 40 ml respectively,the X-ray illumination quantity were 5 913 ± 1 682 and 6 975 ± 2 036 mGy respectively,and the operation time were 2. 62 ± 0. 29 h and 2. 94 ± 0. 35 h respectively. The differences were statistically significant（ all P〈0. 05）.Conclusion Using Smart Mask technology to assist endovascular embolization of intracranial aneurysms can effectively shorten the operation time,reduce the amount of X-ray radiation and contrast agent,and reduce the risk of operation.

关 键 词：颅内动脉瘤 栓塞 治疗性 路径图 SMART Mask技术 

分 类 号：R651.12[医药卫生—外科学]