| 头臂动脉瘤和动静脉瘘的腔内治疗 |
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| 引用本文： | 黄建华|刘光强|王宪伟|欧阳洋|王伟|吕新生|李刚.头臂动脉瘤和动静脉瘘的腔内治疗[J].中国普通外科杂志,2011,20(6):564-567. |
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| 作者姓名： | 黄建华|刘光强|王宪伟|欧阳洋|王伟|吕新生|李刚 |
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| 作者单位： | 中南大学湘雅医院血管外科;中南大学湘雅医院放射科; |
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| 摘 要： | 目的探讨头臂血管假性动脉瘤(BCPA)或颈动脉静脉瘘(CVEF)患者的腔内治疗效果。方法 2003年9月—2011年3月笔者诊治10例假性动脉瘤和动静脉瘘患者并行腔内治疗,其中假性动脉瘤7例,先天性动静脉畸形2例,外伤性动静脉瘘1例。假性动脉瘤的病因为外伤或医源性损伤;临床表现为颈部或锁骨下搏动性肿块,病程2 h至40年不等。10例均经股动脉穿刺造影明确病变性质、部位、大小,然后采用放射介入方法,用带膜支架封堵病变处破口,重朔血管。结果 8例假性动脉或外伤性动脉静脉瘘及1例先天性动静脉瘘达到满意疗效,1例先天性动静脉瘘畸形明显好转,动静脉瘘流量明显减少。结论头臂部动脉瘤或动静脉瘘采用带膜支架腔内隔绝治疗方法微创、简便、迅速、安全、有效,有实用价值。
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| 关 键 词： | 动静脉瘘 动脉瘤 假性 介入治疗 带膜支架 |
| 收稿时间： | 2011/4/30 0:00:00 |
| 修稿时间： | 2011/6/11 0:00:00 |
Endovascular therapy for brachiocephalic pseudoaneurysm and carotid arteriovenous fistula |
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| HUANG Jianhu,LIU Guangqiang,WANG Xianwei,OUYANG Yang,WANG Wei,LU Xins.Endovascular therapy for brachiocephalic pseudoaneurysm and carotid arteriovenous fistula[J].Chinese Journal of General Surgery,2011,20(6):564-567. |
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| Authors: | HUANG Jianhu LIU Guangqiang WANG Xianwei OUYANG Yang WANG Wei LU Xins |
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| Institution: | HUANG Jianhua1,LIU Guangqiang1,WANG Xianwei1,OUYANG Yang1,WANG Wei1,LU Xinsheng1,LI Gang2(1.Department of Vascular Surgery 2.Department of Radiology,Xiangya Hospital,Central South University,Changsha 410008,China) |
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| Abstract: | Objective To invesigate the effects of endovascular therapy on brachiocephalic pseudoaneurysm(BCPA) and carotid arteriovenous fistula(CVEF).Methods The clinical data of 7 patients with BCPA and 3 patients with CAVF,admitted to our department from September 2003 to March 2011,were analysed.Durations of the diseases ranged from 2 h to 40 years.The causes of pseudoaneurysm were traumatic and iatrogenic injury,of CAVF were 2 cases of congenital CAVF and 1 case of traumatic CAVF.The main clinical manifestation o... |
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| Keywords: | Arteriovenous Fistula Aneurysm False Endovascular Therapy Covered Stents |
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