期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

双微导管技术结合3D-DSA治疗颅内临界宽颈动脉瘤 被引量：10

Double microcatheter technique under 3D-DSA guidance for the endovascular treatment of the complicated borderline wide-neck intracranial aneurysms with detachable coils
在线阅读 下载PDF
导出
摘要 目的探讨颅内临界宽颈动脉瘤的血管内治疗方法及其疗效。方法回顾性分析2008年7月至2010年3月应用双微导管辅助技术结合3D-DSA的多次应用治疗12例复杂难治性颅内临界宽颈动脉瘤患者的临床资料。结果 12例动脉瘤均成功栓塞,术后即刻造影示100%栓塞7例,>90%栓塞5例,载瘤动脉均通畅,无缺血并发症发生。11例病人恢复良好,1例死于急性肾功能衰竭。结论双微导管技术结合术中3D-DSA应用可有效治疗颅内复杂的临界宽颈动脉瘤。 Objective To explore the technique of the endovascular treatment of the complicated borderline wide-neck intracranial aneurysms.Method Double microcatheter technique under 3D-DSA guidance was used for detachable coils treatment of the complicated borderline wide-neck intracranial aneurysms（mean aneurysmal neck：body=1：1.62） in 12 patients.Results All the aneurysms were successfully embolized without the parent arteries occlusion.The aneurysms were totally embolized in 7 patients and over 90 % in 5.Of 12 patients,11 were fully recovered from the illness and 1 died of acute renal failure.Conclusion The double microcatheter technique under 3D-DSA guidance is an effective method to treat the complicated borderline wide-neck intracranial aneurysm with detachable coils.
作者 郭再玉 马廉亭 李俊 杜浩 张戈
机构地区 广州军区武汉总医院神经外科
出处 《中国临床神经外科杂志》 2011年第9期513-516,共4页 Chinese Journal of Clinical Neurosurgery
基金 湖北省科技攻关计划(NO:2003AA301C45)
关键词 双微导管技术 3D-DSA 临界宽颈动脉瘤 可脱弹簧圈 血管内治疗 Double microcatheter technique 3D-DSA Borderline wide-neck intracranial aneurysm Detachable coils Endovascular Embolization
分类号 R743.9 [医药卫生—神经病学与精神病学] R815 [医药卫生—放射医学]
  • 相关文献

参考文献12

  • 1Fernandez ZA, Guglielmi G, Vinuela F, et al. Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlation of aneurysm neck size and treatment results [J]. Am J Neuroradiol, 1994, 15 (5): 815-820.
  • 2AbeT, Hirohatab M, Tanaka N, et al. Clinical benefits of rotational 3D angiography in endovascular treatment of ruptured cerebral aneurysm [J]. Am J Neuroradiol, 2002, 23(4): 686-688.
  • 3hnxionnat R, Bracard S, Macho J, et al. 3D angiography. Clinical interest. First applications in interventional neuroradiology [J]. J Neuroradiol, 1998, 25(4): 251-262.
  • 4Kiyosue H, Tanoue S, Okahara M, et al. Anatomic features predictive of complete aneurysm occlusion can be determined with three-dimensional digital subtraction angiography [J]. Am J Neuroradiol 2002,23(7):: 1206.
  • 5Missler U, Hundt C, Wiesmann M, et al. Three-dimensional reconstructed rotational digital sttbtraction angiography in planning treatment of intracranial aneurysms[J]. Eur Radiol, 2000, 10(4): 564-568.
  • 6Unger B, Link J, Trenkler J, et al. Digital 3D rotational angiography for the preoperative and preinterventional clarification of cerebral arterial aneurysms [J]. Rofo Fortschr Geb Ront Genst Neuen Bildgeb Verfahr, 1999, 170(5): 482-491.
  • 7Heautot JF, Chabert E, Gandon Y, et al. Analysis of cerebrovascular diseases by a new 3-dimensional computerized X-ray angiography system [J]. Neuroradiol, 1998, 40(4): 203 -209.
  • 8Beck J, Rohde S, Berkefeld J, et al. Size and location of ruptured and unruptured intracranial aneurysms measured by 3-dimensional rotational angiography [J]. Surg Neurol, 2006, 65(1): 18-25.
  • 9Raabe A, Beck J, Rohde S, et al. Three-dimensional rotational angiography guidance for aneurysm surgery [J]. J Neurosurg, 2006, 105(3): 406-411.
  • 10Baxter BW, Rosso D, Lownie SP. Double microcatheter technique for detachable coil treatment of large, wide-nicked intracranial aneurysms [J]. Am J Neuroradiol, 1998, 19(6): 1176-1178.

二级参考文献13

  • 1Baxter BW,Rosso D,Lownie SP.Double microcatheter technique for detachable coil treatment of large, wide-necked intracranial aneurysms. American Journal of Neuroradiology . 1998
  • 2Kai Y,Hamada JI,Morioka M,et al.Endovascular coil trapping for ruptured vertebral artery dissecting aneurysms by using double microcatheters technique in the acute stage. Acta Neurochirurgica . 2003
  • 3Akiba Y,Murayama Y,Vinuela F,et al.Balloon-assisted Guglielmi detachable coiling of wide-necked aneurysms: Part I--experimental evaluation. Neurosurgery . 2000
  • 4Peter Kim N,David I. L.Balloon-assisted Coil Embolization of Widenecked Aneurysms of the Internal Carotid Artery: Medium-term Angiographic and Clinical Follow-up in 22 Patients. American Journal of Neuroradiology . 2001
  • 5Jean-Philippe C,Anne P,Sophie G,et al.Utility of Balloon-assisted Guglielmi Detachable Coiling in the Treatment of 49 Cerebral Aneurysms:A Retrospective, Multicenter Study. American Journal of Neuroradiology .
  • 6Wanke I,Doerfler A,Schoch B,et al.Treatment of Wide-Necked Intracranial Aneurysms with a Self-Expanding Stent System: Initial Clinical Experience. American Journal of Neuroradiology . 2003
  • 7Benitez RP,Silva MT,Klem J,et al.Endovascular occlusion of widenecked aneurysms with a new intracranial microstent (Neuroform) and detachable coils. Neurosurgery, 2004, 54: 1359-67; discussion .
  • 8Sekho L,Morgan MK,Sorby W,et al.Combined endovascular stent implantation and endosaccular coil placement for the treatment of a widednecked vertebral artery aneurysm: technical case report[].Neurosurgery.1998
  • 9Vinuela F,Duckwiler G,Mawad M,et al.Guglielmi detachable coil embolization of acute intracranial aneurysm: perioperative anatomical and clinical outcome in 403patients[].Journal of Neurosurgery.1997
  • 10Mericle R,Lanzino G,Wakhloo AK,et al.Stenting and secondary coiling of intracranial internal carotid artery aneurysm: technical case report[].Neurosurgery.1998

共引文献30

同被引文献81

  • 1张静波,吴中学,刘爱华,李佑祥,张友平,姜除寒,杨新健,姜鹏,尹可.应用Neuroform支架技术治疗颅内宽颈动脉瘤的疗效分析[J].中华医学杂志,2006,86(3):148-151. 被引量：13
  • 2刘爱华,吴中学,李佑祥,姜除寒,杨新健,张静波.Hunt-Hess Ⅳ级颅内动脉瘤的早期血管内治疗[J].中国介入影像与治疗学,2006,3(1):26-28. 被引量：11
  • 3李晓秋,徐惠琴,王耀山.基底动脉动脉瘤的临床与病理研究[J].临床神经病学杂志,2006,19(5):342-344. 被引量：4
  • 4Kim JW, Park YS. Endovascular treatment of wide-necked in- tracranial aneurysms: techniques and outcomes in 15 patients [J]. J Korean Neurosurg Soc, 2011,49(2)..97-101.
  • 5Lanzino G. Balloon remodeling[J]. J Neurosurg, 2011, 114 (4) :942-943.
  • 6Fiorella D, Woo HH. Balloon assisted treatment of intracranial aneurysms:the conglomerate coil mass technique[J].J Neu- rointerv Surg, 2009,1(2) : 121-131.
  • 7Shapiro M,Babb J, Becske T, et al. Salety and efficacy ofad- junctive balloon remodeling during endovascular treatment of intracranial aneurysms : a literature review[J]. AJNR, 2008, 29 (9):1 777-1 781.
  • 8Sedat J, Chau Y, Mondot L,et al. Endovascular occlusion of intracranial wide-necked aneurysms with stenting (Neuroform) and coiling., mid-term and long-term results[J]. Neuroradiolo gy,2009,51(6) ..401-409.
  • 9Gao X, Liang G, Li Z, et al. Stent-assisted coil embolization of wide-necked intracranial aneurysms using a semi-deployment technique., angiographic and clittiea[ outcomes in 31 consecutive patients[J].Interv Neuroradiol, 2010,16(4) .. 385-393.
  • 10Spiotta AM, Gupta R,Fiorella D, et at. Mid-term results of endovascular coiling of wide-necked aneurysms using double stents in a Y configuration[J]. Neurosurgery,2011,69(2) :421 429.

引证文献10

二级引证文献23

中国临床神经外科杂志
2011年 第9期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部