Solitaire支架辅助弹簧圈栓塞颅内宽颈动脉瘤26例分析 |
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引用本文: | 朱青峰,边世春,周志国,王国芳,禹书宝,王凤伟.Solitaire支架辅助弹簧圈栓塞颅内宽颈动脉瘤26例分析[J].综合临床医学,2014(2):201-203. |
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作者姓名: | 朱青峰 边世春 周志国 王国芳 禹书宝 王凤伟 |
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作者单位: | 解放军第二六四医院神经外科,太原030001 |
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摘 要: | 目的 探讨Solitaire支架辅助弹簧圈栓塞颅内宽颈动脉瘤的经验及栓塞效果.方法 2009年6月至2011年12月,我们对26例颅内宽颈动脉瘤患者应用Solitaire支架辅助微弹簧圈栓塞,围术期给予抗凝及抗血小板治疗,术后3个月复查脑血管造影评价栓塞效果.结果 26例患者共使用27枚Solitaire支架,其中1例患者使用2枚支架.术中支架均顺利到位,放置位置满意,即刻血管造影致密栓塞24例,次全栓塞2例,支架释放位置满意,载瘤血管通畅,3个月后,23例患者获得数字减影血管造影随访,无动脉瘤复发迹象.结论 Solitaire支架辅助弹簧圈栓塞颅内宽颈动脉瘤,操作简单,栓塞率高,复发率低.
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关 键 词: | 蛛网膜下腔出血 颅内动脉瘤 Solitaire支架 弹簧圈 |
Effect of Solitaire stent-assisted coils on endovascular embolization of intracranial wide-necked aneurysms |
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Authors: | Zhu Qingfeng Bian Shichun Zhou Zhiguo Wang Guofang Yu Shubao Wang Fengwei |
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Institution: | 1.Neurological Surgery Department, The NO.264 Hospital of the Chinese People's Liberation Army,Taiyuan 030001, China;) |
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Abstract: | Objective To investigate the effect of Solitaire stent combined with coils on endovascular embolization of intracranial wide-necked aneurysms.Methods Twenty-six cases with intracranial wide-necked aneurysms from June 2009 to December 2011 in the NO.264 Hospital of the Chinese People's Liberation Army were treated with Solitaire stent-assisted coils,and anticoagulation and antiplatelet therapy were done among peri operation period.The effect of endovascular embolization was evaluated after 3 months cerebral angiography.Results A total of 27 solitaire stent were used in the 26 patients,one of which used 2 stents.The stents were successfully put in place,and the placement effect were satisfaction.The immediate angiography showed that 24 cases were dense embolism,2 cases of subtotal embolization.Stent were placed at right position.Twenty-three patients were followed with DSA for 3 months,and no aneurysm evidence of recurrence was found.Conclusion Solitaire stent-assisted coil embolization of intracranial wide-necked aneurysms is simple to perform and embolism rate is high and the recurrence rate is low. |
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Keywords: | Subarachnoid hemorrhage Intracranial aneurysms Solitaire stent Spring coil |
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