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支架结合弹簧圈治疗8例颈内动脉前壁动脉瘤——“铆钉”技术的运用
Embolization of internal carotid artery anterior wall aneurysms by stenting and coiling: 8 cases with "rivets" technology
- 第三军医大学学报 2019年41卷第4期 页码：360-365
- 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：
[ 马颖，E-mail：maying023023@126.com MA Ying, E-mail:maying023023@126.com
- 基金信息：
DOI：10.16016/j.1000-5404.201809081
中图分类号： R615;R653;R732.21收稿：2018-09-10，
修回：2018-10-09，
纸质出版：2019-02-28
- 稿件说明：
移动端阅览
蒋永祥, 吉翔, 程远, 等. 支架结合弹簧圈治疗8例颈内动脉前壁动脉瘤——“铆钉”技术的运用[J]. 第三军医大学学报, 2019,41(4):360-365.
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.
蒋永祥, 吉翔, 程远, 等. 支架结合弹簧圈治疗8例颈内动脉前壁动脉瘤——“铆钉”技术的运用[J]. 第三军医大学学报, 2019,41(4):360-365. DOI： 10.16016/j.1000-5404.201809081.
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
2
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
2
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
2
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
2
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
2
To investigate the application
safety and effectiveness of "rivets" technique in endovascular therapy of internal carotid artery anterior wall anuerysms.
Methods
2
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
2
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
2
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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