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颈内动脉床突旁动脉瘤的血管内治疗
引用本文:于加省,何跃,陈如东,陈劲草,陈坚,雷霆,李龄. 颈内动脉床突旁动脉瘤的血管内治疗[J]. 华中科技大学学报(医学版), 2011, 40(4): 473-476. DOI: 10.3870/j.issn.1672-0741.2011.04.022
作者姓名:于加省  何跃  陈如东  陈劲草  陈坚  雷霆  李龄
作者单位:华中科技大学同济医学院附属同济医院神经外科,武汉,430030
基金项目:武汉市科技局科技攻关计划重点项目
摘    要:
目的总结血管内栓塞治疗颈内动脉床突旁动脉瘤的经验体会。方法回顾性分析应用血管内栓塞治疗的31例床突旁动脉瘤患者(33个动脉瘤)的临床资料、栓塞过程以及结果。其中3例辅以球囊瘤颈再塑形技术,2例采用支架辅助弹簧圈进行栓塞,2例采用双微导管技术。结果栓塞术后即时造影显示26个动脉瘤100%栓塞;6个动脉瘤>95%栓塞;1个动脉瘤<95%栓塞。术中破裂1例,最后顺利致密栓塞。2例术后持续轻度头痛,1例遗留视野缺损。无死亡病例。随访2~48个月,无术后再出血病例。结论选择合适的床突旁动脉瘤病例,可以应用血管内栓塞进行相对微创且安全有效的治疗。

关 键 词:床突旁动脉瘤  血管内治疗  球囊瘤颈再塑形  支架  双微导管

Endovascular Embolization of Paraclinoid Aneurysms
Yu Jiasheng,He Yue,Chen Rudong et al. Endovascular Embolization of Paraclinoid Aneurysms[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 2011, 40(4): 473-476. DOI: 10.3870/j.issn.1672-0741.2011.04.022
Authors:Yu Jiasheng  He Yue  Chen Rudong et al
Affiliation:Yu Jiasheng,He Yue,Chen Rudong et al Department of Neurosurgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
Abstract:
Objective To summarize the experience of endovascular treatment of paraclinoid aneurysm.Methods The clinical data of 31 cases of paraclinoid aneurysms(33) undergoing endovascular embolization were retrospectively reviewed.Among the 33 aneurysms,balloon remodeling technique was used in 3,stent-assisted coil embolization in 2 and double microcathater technique in 2 respectively.Results Immediate post procedure angiography showed that total obliteration of aneurysm was achieved in 26 aneurysms,>95% occlusion i...
Keywords:paraclinoid aneurysm  endovascular therapy  balloon remolding  stent  double microcatheter  
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