| 椎-基底动脉夹层动脉瘤的血管内治疗
（附48例分析） |
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| 引用本文： | 刘福德,邓剑平,张,涛,陈,虎,李,帅,王俭博,曲友直,赵振伟.椎-基底动脉夹层动脉瘤的血管内治疗
（附48例分析）[J].中国临床神经外科杂志,2016,0(6):353-356. |
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| 作者姓名： | 刘福德 邓剑平 张 涛 陈 虎 李 帅 王俭博 曲友直 赵振伟 |
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| 作者单位： | 710038 西安，第四军医大学唐都医院神经外科（刘福德、邓剑平、张 涛、陈虎、李 帅、曲友直、赵振伟）；121000 辽宁锦州，解放军65635部队卫生队（王俭博） |
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| 摘 要： | 目的 探讨血管内栓塞治疗椎-基底动脉夹层动脉瘤（VBDAs）的效果。方法 回顾性分析2010年6月至2015年8月血管内栓塞治疗的48例（破裂动脉瘤25例，未破裂23例）VBDAs的临床资料，采用支架辅助弹簧圈栓塞术29例，单纯支架置入术4例，动脉瘤并载瘤动脉闭塞术15例。结果 术后即刻造影示完全栓塞28例，近全栓塞12例，不全栓塞8例。38例术后随访3个月至3年，无再出血或梗死，32例（破裂13例，未破裂19例）预后良好，6例（破裂5例，未破裂1例）不佳；术后复发5例（破裂2例，未破裂3例）。结论 血管内治疗VBDAs是安全有效的，但存在动脉瘤复发可能，长期随访很有必要。
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| 关 键 词： | 颅内动脉瘤 夹层动脉瘤 基底动脉 椎动脉 血管内治疗 |
Endovascular treatment of vertebrobasilar artery dissecting aneurysms (report of 48 cases) |
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| LIU Fu-de,DENG Jian-ping,ZHANG Tao,CHEN Hu,LI Shuai,WANG Jian-bo,QU You-zhi,ZHAO Zhen-wei..Endovascular treatment of vertebrobasilar artery dissecting aneurysms (report of 48 cases)[J].Chinese Journal of Clinical Neurosurgery,2016,0(6):353-356. |
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| Authors: | LIU Fu-de DENG Jian-ping ZHANG Tao CHEN Hu LI Shuai WANG Jian-bo QU You-zhi ZHAO Zhen-wei |
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| Affiliation: | 1. Department of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi’an 710038, China; 2. Medical Team, Troops 65635, PLA, 121000 Jinzhou, China |
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| Abstract: | Objective To summarize the long-term effects of endovascular treatment on vertebrobasilar dissecting aneurysms (VBDAs). Methods The clinical data of 48 patients with 50 VBDAs, who received endovascular treatment from June, 2010 to August, 2015, were analyzed retrospectively. Of 50 VBDAs, 25 ruptured and 25 did not. Thirty-one VBDAs were treated by stent-assisted coils embolization, 4 only by stents and 15 and their parent arteries together by coils embolization. Results The angiograms immediately after the treatment showed that of 50 VBDAs, 29 were totally occluded, 12 subtotally and 9 in great part. Of 38 patients followed up by the imaging from 3 months to 3 years, 5 had relapse and 33 not. Of 38 patients followed up clinically from 3 months to 3 years, 32 were recovered well and 6 not. Of 6 patients who were recovered poorly, 5 had ruptured VBDAs and 1 unruptured before the treatment. Conclusions The endovascular treatment is a safe and effective method to treat VBDAs, but long-term following-up is needed because VBDAs may recur after the endovascular treatment. |
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| Keywords: | Vertebral artery Dissecting aneurysm Endovascular treatment Prognosis |
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