新型输送型球囊扩张导管在颅内动脉狭窄治疗中的临床应用  

Clinical application of a new delivery balloon dilation catheter for intracranial artery stenosis

作　　者：严力韬 张磊[1] 花伟龙 戴冬伟[1] 张永巍[1] 杨鹏飞[1] 刘建民[1] YAN Litao;ZHANG Lei;HUA Weilong;DAI Dongwei;ZHANG Yongwei;YANG Pengfei;LIU Jianmin(Neurovascular Center,The First Affiliated Hospital of Naval Medical University(Second Military Medical University),Shanghai 200433,China)

机构地区：[1]海军军医大学(第二军医大学)第一附属医院脑血管病中心,上海200433

出　　处：《海军军医大学学报》2023年第12期1417-1420,共4页Academic Journal of Naval Medical University

摘　　要：目的探讨新型输送型球囊扩张导管(Fastunnel导管)在颅内动脉粥样硬化性狭窄介入治疗中的应用效果。方法2022年11月至2023年2月,我中心使用Fastunnel导管对10例颅内动脉粥样硬化性狭窄患者进行了球囊扩张+支架成形术。通过收集并分析患者的基线资料、影像学特点、治疗情况及围手术期并发症发生情况,评价Fastunnel导管的应用价值。结果10例患者中男6例、女4例,平均年龄为(62.7±6.7)岁。10例患者均成功接受手术治疗,手术时长为16~65(37.3±18.2)min,治疗期间射线暴露时间为9~23(15.9±4.7)min,辐射剂量为1381~4901(2643.7±1131.7)mGy,剂量面积乘积为5707~38112(17526.8±10809.5)μGy·m2。10例患者围手术期均未发生出血或缺血相关并发症。结论Fastunnel导管治疗颅内动脉狭窄具有较好的安全性,且能有效简化手术步骤,在缩短手术时间和减少医患辐射暴露方面也可能存在优势。Objective To investigate the application of a new delivery balloon dilation catheter(Fastunnel catheter)in the interventional treatment of intracranial atherosclerotic stenosis.Methods From Nov.2022 to Feb.2023,10 patients with intracranial atherosclerotic stenosis were treated with balloon dilatation and stenting using Fastunnel catheter in our center.The application value of Fastunnel catheter was evaluated by collecting and analyzing the baseline information,imaging characteristics,treatment,and perioperative complications of the patients.Results There were 6 males and 4 females,with an average age of(62.7±6.7)years old.All the 10 patients were successfully treated with surgery.The operation duration was 16-65(37.3±18.2)min,the radiation exposure time was 9-23(15.9±4.7)min,the radiation dose was 1381-4901(2643.7±1131.7)mGy,and the dose area product was 5707-38112(17526.8±10809.5)μGy·m2.None of the 10 patients had bleeding-or ischemia-related complications during the perioperative period.Conclusion Fastunnel catheters have good safety for intracranial artery stenosis,can effectively simplify the operation procedure,and have advantages in shortening the operation time and reducing the radiation exposure of doctors and patients.

关 键 词：颅内动脉粥样硬化性狭窄 介入器械 球囊扩张血管成形术 支架植入 数字减影血管造影 辐射剂量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]