| 自膨式支架结合可脱弹簧圈在颅内宽颈动脉瘤患者介入治疗中的应用 |
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| 引用本文： | 庞刚,肖泉,钟书,刘若平.自膨式支架结合可脱弹簧圈在颅内宽颈动脉瘤患者介入治疗中的应用[J].临床神经病学杂志,2009,22(6). |
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| 作者姓名： | 庞刚 肖泉 钟书 刘若平 |
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| 作者单位： | 广西壮族自治区人民医院神经外科,南宁,530021 |
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| 基金项目： | 广西壮族自治区科学技术厅资助项目 |
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| 摘 要： | 目的 探讨自膨式支架结合可脱弹簧圈在颅内宽颈动脉瘤患者介入治疗中的应用.方法 对32例颅内宽颈动脉瘤患者采用自膨式支架结合可脱弹簧圈介入治疗,术后DSA检查瘤体栓塞情况并随访.结果 32例介入治疗中支架均成功释放,29例应用可脱弹簧圈完成瘤腔的栓塞;术后即刻DSA显示动脉瘤100%栓塞18例,95%栓塞7例,90%栓塞4例,3例微小动脉瘤腔未填塞;载瘤动脉均无狭窄.1例术后18 h死于血小板功能障碍所致的多发性脑出血.21例术后3～12个月DSA复查,与术后即刻DSA相比,影像学无变化12例,5例原有瘤颈残留已完全不显影,1例瘤颈显影有所增大;3例单纯放置支架未填塞动脉瘤腔者2例瘤体完全不显影,1例瘤体有所缩小.26例随访6～18个月,均无再次出血以及脑梗死.结论 自膨式支架顺应性好,安全性高,给可脱弹簧圈栓塞颅内宽颈动脉瘤提供良好的支撑,同时能有效地促进微小动脉瘤的愈合.
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| 关 键 词： | 颅内动脉瘤 自膨式支架 介入治疗 |
Application of self-expanding stent and seperable detachable coil for interventional therapy in patients with wide-necked intracranial aneurysm |
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| PANG Gang,XIAO Quan,ZHONG Shu,et al..Application of self-expanding stent and seperable detachable coil for interventional therapy in patients with wide-necked intracranial aneurysm[J].Journal of Clinical Neurology,2009,22(6). |
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| Authors: | PANG Gang XIAO Quan ZHONG Shu |
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| Affiliation: | PANG Gang,XIAO Quan,ZHONG Shu,et al.Department of Neurosurgery,the People's Hospital of Guangxi Autonomous Region,Nanning 530021,China |
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| Abstract: | Objective To explore the application of self-expanding stent and seperable detachable coil for interventional therapy in patients with wide-necked intracranial aneurysm.Methods 32 patients with wide-necked intracranial aneurysm received the interventional therapy by self-expanding stent and seperable detachable coil.After operation,the situation of the aneurysm occluded were observed by DSA immediately and followed up.Results The stents were successfully deployed in the 32 patients.The seperable detachable ... |
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| Keywords: | intracranial aneurysm self-expanding stent interventional treatment |
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