颅内动脉瘤患者血流导向装置治疗后支架内狭窄的危险因素  

Risk factors for in-stent stenosis after flow diverter treatment in patients with intracranial aneurysms

作　　者：李沛泽 吴勇强[2,3,4] 陈阳 郭庚 Li Peize;Wu Yongqiang;Chen Yang;Guo Geng(Department of Neurosurgery,the First Hospital of Shanxi Medical University,Taiyuan 030001,China;Cerebrovascular Disease Center,the First Hospital of Shanxi Medical University,Taiyuan 030001,China;Cerebrovascular Disease Research Center,Shanxi Medical University,Taiyuan 030001,China;Department of Neurosurgery,Xinghualing District Central Hospital,Taiyuan 030009,China;Emergency Medical Center of the First Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学第一医院神经外科,太原030001 [2]山西医科大学第一医院脑血管病中心,太原030001 [3]山西医科大学脑血管病研究中心,太原030001 [4]太原市杏花岭区中心医院神经外科,太原030009 [5]山西医科大学第一医院急诊医学中心,太原030001

出　　处：《国际脑血管病杂志》2024年第11期875-880,共6页International Journal of Cerebrovascular Diseases

基　　金：山西智能大数据产业技术创新研究院科研基金项目(SIBD-2020-YL0052)。

摘　　要：血流导向装置(flow diverter,FD)因相较于传统弹簧圈栓塞或支架辅助弹簧圈栓塞具有更高的安全性和动脉瘤闭塞率而日益得到广泛应用。然而,FD治疗后存在支架内狭窄(in-stent stenosis,ISS)的现象,其可能导致偏瘫、脑供血不足甚至危及患者生命。文章对颅内动脉瘤FD治疗后ISS的预测因素进行综述,以期为患者的围手术期管理提供参考。Flow diverter(FD)devices are increasingly being widely used due to their higher safety and aneurysm occlusion rate compared to traditional coil embolization or stent-assisted coil embolization.However,in-stent stenosis(ISS)can occur after FD treatment,which may lead to hemiplegia,cerebral ischemia,and even endanger the life of patients.This article reviews the predictive factors of ISS after FD treatment for intracranial aneurysms,in order to provide reference for perioperative management of patients.

关 键 词：颅内动脉瘤 血管内手术 栓塞 治疗性 支架 治疗结果 缩窄 病理性 危险因素 

分 类 号：R651[医药卫生—外科学]