Solitaire支架在颅内宽颈动脉瘤血管内治疗中的应用 |
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引用本文: | 卢旺盛,贾博,常洪波,倪伟刚,田增民,郑春玲,刘晓晗,钱玲玲,张剑宁. Solitaire支架在颅内宽颈动脉瘤血管内治疗中的应用[J]. 解剖与临床, 2013, 0(4): 279-282 |
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作者姓名: | 卢旺盛 贾博 常洪波 倪伟刚 田增民 郑春玲 刘晓晗 钱玲玲 张剑宁 |
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作者单位: | 卢旺盛 (海军总医院全军神经外科中心, 北京市,100048); 贾博 (海军总医院全军神经外科中心, 北京市,100048); 常洪波 (海军总医院全军神经外科中心, 北京市,100048); 倪伟刚 (海军总医院全军神经外科中心, 北京市,100048); 田增民 (海军总医院全军神经外科中心, 北京市,100048); 郑春玲 (海军总医院全军神经外科中心, 北京市,100048); 刘晓晗 (海军总医院全军神经外科中心, 北京市,100048); 钱玲玲 (海军总医院全军神经外科中心, 北京市,100048); 张剑宁 (海军总医院全军神经外科中心, 北京市,100048); |
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摘 要: | 目的:探讨应用Solitaire支架结合弹簧圈治疗颅内宽颈动脉瘤的安全性与有效性。方法:回顾性分析Solitaire支架结合弹簧圈治疗的8例颅内宽颈动脉瘤患者的临床资料。结果:本组8例,所有患者术中支架均顺利到位,放置满意,术中无操作相关并发症发生。术后获随访6。24个月(平均12.9个月),随访期间患者无一例死亡,无再出血及栓塞等症状。术后6个月按GOS评分评定远期生活质量,患者恢复良好率或轻残率为87.5%(7/8)。术后1a复查血管造影结果显示,所有患者载瘤动脉及毗邻的血管均保持通畅,无支架或弹簧圈移位发生;7例患者动脉瘤完全闭塞;1例患者动脉瘤残留或复发。影像学治愈率87.5%(7/8)。结论:血管内Solitaire支架植入结合弹簧圈治疗颅内宽颈动脉瘤是一种安全、有效的治疗手段。
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关 键 词: | 颅内动脉瘤 宽颈 血管内治疗 支架 弹簧圈 |
Clinical Application of Solitaire Stent in the Endovascular Treatment for Intracranial Wide - necked Aneurysms |
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Affiliation: | LU Wang - sheng , JIA Bo , CHANG Hong - bo , NI Wei - gang, TIAN Zeng - min, ZHENG Chun - ling, LIU Xiao - han, QIAN Ling - ling, ZHANG Jian - ning. (Department of Neurosurgery, Navy General Hospital of PLA, Beijing 100048, China) |
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Abstract: | Objective: To explore the safety and efficacy of Solitaire stent - assisted coiling of intracra- nial wide - necked aneurysms. Methods: 8 patients with wide - necked intracranial aneurysms were treated with the Solitaire stent - assisted coiling. The clinical data of Solitaire stent application were evaluated retrospective- ly. Results:The Solitaire stent system was delivered and deployed accurately in eight cases without procedure - related complications. Patients were followed up for 6 to 24 months (mean 12.9 months), there were no deaths and no further bleeding and other symptoms of embolism during the follow - up. The long - term quality of life in patients was assessed by GOS score 6 months after surgery, and mild disability or good recovery rate was 87.5% (7/8). 1 year after surgery angiography showed that parent arteries and adjacent blood vessels of all pa- tients were kept unblocked without shift of stent and coil. Seven patients underwent completely occlusion of the aneurysm; one patient was diagnosed as residual or recurrent of aneurysm. Imaging cure rate was 87.5%(7/8). Conclusions:The Solitaire stent - assisted coiling is a safe and effective technique in the treatment of in- tracranial wide -necked aneurysms. |
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Keywords: | Intracranial aneurysm Wide-neck Endovascular treatment Stent Coil |
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