| 支架结合电解可脱弹簧圈治疗宽颈后交通动脉瘤的初步体会 |
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| 引用本文： | Zhang X,Liu JM,Xu Y,Hong B,Huang QH,Zhang L,Zhao WY,Zhou XP. 支架结合电解可脱弹簧圈治疗宽颈后交通动脉瘤的初步体会[J]. 中华外科杂志, 2003, 41(12): 920-923 |
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| 作者姓名： | Zhang X Liu JM Xu Y Hong B Huang QH Zhang L Zhao WY Zhou XP |
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| 作者单位： | 200433,上海,第二军医大学长海医院神经外科 |
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| 基金项目： | 上海市医学发展基金重点研究课题资助项目( 98ZD0 0 2 ) |
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| 摘 要： | 目的 总结血管内支架结合电解可脱弹簧圈(Guglielmi detachable coil,GDC)治疗宽颈后交通动脉瘤的临床体会。方法 32例宽颈后交通动脉瘤,均先植入冠脉支架覆盖动脉瘤颈,再将微导管通过支架网孔超选进入动脉瘤腔,填塞GDC。结果 32例患者,动脉瘤完全填塞26例,90％以上填塞4例,60～70％填塞2例。所有载瘤动脉通畅,临床效果优良。结论 血管内支架结合GDC是治疗宽颈后交通动脉瘤的有效方法,长期疗效有待进一步随访。
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| 关 键 词： | 支架结合电解可脱弹簧圈 治疗 颅内动脉瘤 介入治疗 |
| 修稿时间： | 2002-05-15 |
Treatment of posterior-communicating wide-necked aneurysms with endovascular stent and Guglielmi detachable coils |
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| Zhang Xin,Liu Jian-min,Xu Yi,Hong Bo,Huang Qing-hai,Zhang Long,Zhao Wen-yuan,Zhou Xiao-ping. Treatment of posterior-communicating wide-necked aneurysms with endovascular stent and Guglielmi detachable coils[J]. Chinese Journal of Surgery, 2003, 41(12): 920-923 |
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| Authors: | Zhang Xin Liu Jian-min Xu Yi Hong Bo Huang Qing-hai Zhang Long Zhao Wen-yuan Zhou Xiao-ping |
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| Affiliation: | Department of Neurosurgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China. |
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| Abstract: | OBJECTIVE: To summarize our clinical experience in treating posterior-communicating wide-necked aneurysms using endovascular stent and Guglielmi detachable coils (GDCs). METHODS: The coronary stents were implanted across the neck of 32 posterior-communication wide-necked aneurysms. Microcatheters were introduced into the aneurysm sac through stent mesh, GDCs were used to embolize aneurysms. RESULTS: All operations were successful. Total occlusion was achieved in 26 patients, over 90% in 4, 60 - 70% in 2. The patients were perfectly recovered with patency of the parent arteries. CONCLUSION: Endovascular therapy combined with stent implatation and GDC placement is a valid approach to the treatment of posterior-communication wide-necked aneurysms. |
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| Keywords: | Intracranial aneurgsm Embolization therapeutic Interventional |
| 本文献已被 CNKI 维普 万方数据 PubMed 等数据库收录！ |
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