Embolization of internal carotid artery anterior wall aneurysms by stenting and coiling: 8 cases with "rivets" technology

Yongxiang JIANG; Xiang JI; Yuan CHENG; Weifu CHEN; Ying MA

doi:10.16016/j.1000-5404.201809081

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Embolization of internal carotid artery anterior wall aneurysms by stenting and coiling: 8 cases with "rivets" technology

Clinical Medicine | 更新时间：2026-01-09

- Embolization of internal carotid artery anterior wall aneurysms by stenting and coiling: 8 cases with "rivets" technology
- Journal of Third Military Medical University Vol. 41, Issue 4, Pages: 360-365(2019)
- 作者机构：
  
  400010 重庆，重庆医科大学附属第二医院神经外科
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201809081
  CLC： R615;R653;R732.21
- Received：10 September 2018，
  
  Revised：2018-10-09，
  
  Published：28 February 2019
- 稿件说明：
移动端阅览
Yongxiang JIANG, Xiang JI, Yuan CHENG, et al. Embolization of internal carotid artery anterior wall aneurysms by stenting and coiling: 8 cases with "rivets" technology[J]. Journal of Third Military Medical University, 2019, 41(4): 360-365.
DOI：

Yongxiang JIANG, Xiang JI, Yuan CHENG, et al. Embolization of internal carotid artery anterior wall aneurysms by stenting and coiling: 8 cases with "rivets" technology[J]. Journal of Third Military Medical University, 2019, 41(4): 360-365. DOI： 10.16016/j.1000-5404.201809081.

摘要

目的

探讨支架结合弹簧圈的“铆钉”技术在血管内治疗颈内动脉前壁动脉瘤中的应用及其有效性、安全性。

方法

回顾性分析本科2010年1月至2018年5月收治的8例采用“铆钉”技术进行血管内治疗的颈内动脉前壁动脉瘤患者的临床资料及其术后脑血管造影和随访结果。

结果

8例患者均在术中安全栓塞动脉瘤，未发生术中破裂出血。1例患者在术后1周、3个月、6个月复查DSA均可见动脉瘤颈少量残留，但是瘤颈弹簧圈形态稳定，故予以继续随访；而其余7例患者在术后6个月复查DSA示动脉瘤颈血管内膜修复良好

动脉瘤治愈。

结论

通过“铆钉”技术主动增强动脉瘤颈处弹簧圈的抗冲击能力，再结合支架的血流导向作用，能够安全、有效地治疗此类极易破裂的动脉瘤。

Abstract

Objective

To investigate the application

safety and effectiveness of "rivets" technique in endovascular therapy of internal carotid artery anterior wall anuerysms.

Methods

A retrospective study was carried on 8 patients suffered from aneurysm in anterior wall of the internal carotid artery and treated by endovascular therapy with rivets technique in our department from January 2010 to May 2018. Their clinical data

postoperative cerebral angiography

and clinical outcomes by follow-up digital subtraction angiography (DSA) were collected and analyzed.

Results

All aneurysms in the 8 patients were safely and successfully embolized during the operation

and no intraoperative aneurysm rupture happened. One patient was found having a little residual of aneurysm neck in the DSA results in 1 week

3 months and 6 months after the operation

and this patient was followed up further since the coil was stable in form. DSA reexamination in 6 months after operation showed the other 7 patients had well repaired carotid artery intima

indicating that the aneurysm was cured completely.

Conclusion

The "riveting" technology can enhance the anti-impact ability of the coil at the neck of aneurysm. Combined with the stent guiding the blood flow

the technology can safely and effectively treat these easily ruptured aneurysms.

关键词

Keywords

references

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