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新型颅内Solitaire支架辅助弹簧圈栓塞颅内复杂动脉瘤 被引量:17

Endovascular embolization of complex intracranial aneurysms with Solitaire stents-assited coils (reports of 23 cases)
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摘要 目的探讨新型自膨式闭环颅内Solitaire支架辅助弹簧圈栓塞治疗颅内复杂动脉瘤的疗效及安全性。方法回顾性分析采用Solitaire支架辅助弹簧圈栓塞治疗的23例颅内复杂动脉瘤患者的临床资料。包括未破裂动脉瘤2例,破裂动脉瘤21例。行单纯支架治疗2例,支架辅助弹簧圈栓塞21例。结果 23例共使用24枚支架,23枚支架均成功定位、释放,1枚解脱后移位;栓塞后即刻造影示动脉瘤致密栓塞16例,瘤颈残留4例,瘤体显影3例。术后发生抗凝、抗血小板聚集相关并发症2例。出院时按改良Rankin评分0分19例,1分2例,2分1例。死亡1例。结论 Solitaire支架输送简单,顺应性好,定位准确,完全释放后仍可以完全回收,安全性高,即刻栓塞效果满意。 Objective To explore the safety of endovascular embolization of the complex intracranial aneurysms with Solitaire stents-assisted coils and the curative effect on the aneurysms.Methods The clinical data of 23 patients with complex intracranial aneurysms,of whom,21 were endovascularly treated with Solitaire stents-assisted coils and 2 by the stent alone,were analyzed retrospectively.Of 23 aneurysms including 21 ruptured aneurysms and 2 unruptured aneurysms.Results Of 24 stents used for the embolization,23 were successfully deployed and 1 moved after it was detached.Complete occlusion was achieved in 16 aneurysms,with a neck remnant in 4 and incomplete occlusion in 3.The complications related to anticoagulation and antiplatelet occurred in 3 patients.According to Rankin Score on discharge from the hospital,of 23 patients,19 belonged in grade 0,2 in grade 1 and 1 in grade 2.One patient died.Conclusions Solitaire stents,which have good compliance,are easily delivered and they may be deployed and precisely positioned safely.The curative effect of embolization with Solitaire stents-assisted coils on the intracranial aneurysms is satisfactory immediately after the embolization with them,but their long-term efficacy should be confirmed.
出处 《中国临床神经外科杂志》 2011年第8期466-469,共4页 Chinese Journal of Clinical Neurosurgery
关键词 颅内复杂动脉瘤 Solitaire支架 栓塞 Complex intracranial aneurysm Solitaire stents Coils Embolization
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参考文献7

  • 1杨志刚,刘建民,许奕,黄清海,洪波,赵文元,赵瑞.新型可回撤自膨胀支架在颅内动脉瘤治疗中的应用[J].介入放射学杂志,2008,17(7):459-462. 被引量:13
  • 2张海林,张建生,任军,丁永忠,李强.可脱性弹簧圈栓塞治疗颅内破裂动脉瘤(附141例报告)[J].中国临床神经外科杂志,2010,15(12):712-714. 被引量:4
  • 3Sychra V, Klisch J, Werner M. Waffle-cone technique with Solitaire^TM AB Remodeling Device: endovascular treatment of highly selected complex cerebral aneurysms [J]. Neuroradiology, 2010, 49(7): 555-561.
  • 4Lubicza, B, Collignona L, Raphaelia G, et al. Solitaire stent for endovascular treatment of intracranial aneurysms: immediate and mid-term results in 15 patients with 17 aneurysms [J]. Neuroradiology, 2010, 37: 83-88.
  • 5Klisch J, Clajus C, Sychra V, et al. Coil embolization of anterior circulation aneurysms supported by the Solitaire^TM AB Neurovascular Remodeling Device [J]. Neuroradiology, 2010, 52: 349-359.
  • 6Castano C, Dorado L, Guerrero C, et al. Comment on: mechanical thrombectomy with the Solitaire AB Device in large artery occlusions of the anterior circulation [J]. Clin Neuroradiol, 2010, 20: 267-268.
  • 7O' Hare AM, Rogopoulos AM, Stracke PC, et al. Retrieval of displaced coil using a Solitaire stent [J]. Clin Neuroradiol 2010, 20: 251-254.

二级参考文献19

  • 1宋锦宁,刘守勋,王茂德,谢昌厚,谢万福,鲍刚,张晓东.前交通动脉瘤血管内栓塞治疗[J].中华神经外科疾病研究杂志,2005,4(1):16-19. 被引量:16
  • 2赵振伟,邓剑平,高国栋.颅内破裂动脉瘤栓塞后再出血分析[J].中国微侵袭神经外科杂志,2006,11(11):497-499. 被引量:13
  • 3Molyneux A,Kerr R,Stratton I,et al.International Subarachnoid Aneurysm Trial(ISAT)of neurosurgical clipping versus endovascular coiling in 2 143 patients with ruptured intracranial aneurysms:a randomised trial[J].Lancet,2002,360:1267-1274.
  • 4Molyneux A,Kerr R,Yu L,et al.International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2 143 patients with ruptured intrueranial aneurysms:a randomized comparison of effects on survival,dependency,seizures,rebleeding,subgroups,and aneurysm occlusion[J].Lancet,2005,366:809-817.
  • 5David P,Tommy A,Pedro L,et al.Stroke review:advances in interventional neuroradiology 2004[J].Stroke,2005,36:211-214.
  • 6Wikholm G,Lindgren H,Rodriguez M,et al.Embolization with Guglielmi detachable coils during the period of increased risk for cerebral vasospasm:early outcome[J].Neuroradiology,2000,42:833-837.
  • 7Kwon B J,Han MH,Oh CW,et al.Procedure-related hemorrhage in embolisation of intracranial aneurysms with Guglielmi detachable coils[J].Neuroradiology,2003,45:562-569.
  • 8CARAT Investigators.Rates of delayed rebleeding from intracranial aneurysms are low after surgical and endovascular treatment[J].Stroke,2006,37:1437-1442.
  • 9Sluzewski M,van Rooij WJ.Early rebleeding after coiling of ruptured cerebral aneurysms:incidence,morbidity,and risk factors[J].Am J Neuroradiol,2005,26:1739-1743.
  • 10Yamazaki T,Sonobe M,Nakal Y,et al.Predictors of anglographic changes in neck remnants of ruptured cerebral aneurysms treated with Gugllelmi detachable coils[J].Neurol Med Chir(Tokyo),2006,46:1-10.

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