"篮筐"技术在颅内动脉瘤介入治疗中的应用

Objective To study the ways,mechanism,indication,curative effect of " Basket" skill applied in the interventional therapy for intracranial aneurysm. Methods Intracranial aneurysm with 1 : 1 ≥ neck/body ≥ 1 : 2 ," 3 D coil" was used to form a basket in it;in that with 1:2 > neck/body,common "2D coil" was applied. And the following coils were applied with hydrocoil or fibered coil combined with common platinum coil to increase the embol-ism density. Results In 156 cases with 158 aneurysms,143 aneurysms were 100% embolized (90. 5% ) ;131 ca-ses discharged with GOS 5 score(84.0% ),and 2 cases died ( 1.3% ). Conclusion " Basket" skill can increase the embolization density in aneurysm,reducing the residual of the neck,getting embolizated fully and improving the prognosis.     

"篮筐"技术在颅内动脉瘤介入治疗中的应用

Objective To study the ways,mechanism,indication,curative effect of " Basket" skill applied in the interventional therapy for intracranial aneurysm. Methods Intracranial aneurysm with 1 : 1 ≥ neck/body ≥ 1 : 2 ," 3 D coil" was used to form a basket in it;in that with 1:2 > neck/body,common "2D coil" was applied. And the following coils were applied with hydrocoil or fibered coil combined with common platinum coil to increase the embol-ism density. Results In 156 cases with 158 aneurysms,143 aneurysms were 100% embolized (90. 5% ) ;131 ca-ses discharged with GOS 5 score(84.0% ),and 2 cases died ( 1.3% ). Conclusion " Basket" skill can increase the embolization density in aneurysm,reducing the residual of the neck,getting embolizated fully and improving the prognosis.     

"篮筐"技术在颅内动脉瘤介入治疗中的应用

Objective To study the ways,mechanism,indication,curative effect of " Basket" skill applied in the interventional therapy for intracranial aneurysm. Methods Intracranial aneurysm with 1 : 1 ≥ neck/body ≥ 1 : 2 ," 3 D coil" was used to form a basket in it;in that with 1:2 > neck/body,common "2D coil" was applied. And the following coils were applied with hydrocoil or fibered coil combined with common platinum coil to increase the embol-ism density. Results In 156 cases with 158 aneurysms,143 aneurysms were 100% embolized (90. 5% ) ;131 ca-ses discharged with GOS 5 score(84.0% ),and 2 cases died ( 1.3% ). Conclusion " Basket" skill can increase the embolization density in aneurysm,reducing the residual of the neck,getting embolizated fully and improving the prognosis.     

血流导向装置治疗未破裂中小型颈内动脉瘤对血流动力学的影响及短期疗效分析

目的 探讨血流导向装置（flow diverter,FD）治疗未破裂中小型颈内动脉瘤的短期疗效、安全性及治疗后对血流动力学产生的影响。方法 回顾性分析2018年1月至2021年1月在广东医科大学附属医院神经外科应用FD治疗的未破裂中小型颈内动脉瘤（直径≤10 mm）病例32例，并根据术前术后计算机体层血管成像（CTA）对载瘤动脉及动脉瘤的三维重建，进行计算流体力学模拟分析，计算出动脉瘤的瘤内平均壁面应切力（wall shear stress,WSS），低壁面应切力面积（low wall shear stress area,LSA），瘤内相对滞留时间（relative residence time,RRT）等血流动力学参数，同时术前术后均行经颅多普勒超声了解相关的脑血流动力学参数包括，动脉瘤颈处的血流速度，载瘤动脉的血流速度，及双侧大脑中动脉的血流速度等，然后对术前后的血流动力学参数进行对比分析。随访6个月，采用改良Rankin量表（mRS）评分评价病人的预后，采用O’Kelly-Marotta(OKM)分级评估动脉瘤的即刻闭塞程度及6个月随访时的闭塞程度。结果 32例病人共用33个Pi...