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NeuroformⅡ支架结合弹簧圈治疗颅内宽颈动脉瘤的临床研究

Clinical study of NeuroformⅡ stents combined with coiling for treatment of wide-necked cerebral aneurysms

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【作者】 王伟李宗正赵振伟高国栋邓剑平曲友直

【Author】 WANG Wei,LI Zong-zheng,ZHAO Zhen-wei,et al.(The Affiliated Hosp.of Ningxia Med.Coll.,Yinchuan 750004,China)

【机构】 宁夏医学院附属医院解放军第四军医大学附属唐都医院

【摘要】 目的探讨NeuroformⅡ支架结合弹簧圈治疗颅内宽颈动脉瘤的适应证,技术要点,并发症防治,评估该技术的安全性及疗效。方法86例颅内宽颈动脉瘤采用NeuroformⅡ支架结合电解可脱卸弹簧圈栓塞,术后3、6及12个月随访临床症状,6-12个月造影随访。结果68例宽颈动脉瘤致密添塞,18例不全添塞,所有患者载瘤动脉通畅,支架均到位;75例临床症状随访,均无再出血及血栓形成;59例造影随访,56例动脉瘤不显影,3例动脉瘤再通,5例有轻度血管狭窄。结论NeuroformⅡ支架结合弹簧圈治疗颅内宽颈动脉瘤是一种微创、安全、有效的方法,但远期疗效有待于进一步观察。

【Abstract】 Objective To report experience of NeuroformⅡstents combined with coiling for intracranial wide-necked aneurysms and to investigate its indication,technical tip,prevention and treatment of complication,safety and efficacy.Methods86 patients with intracranial wide-necked aneurysms were treated with combined NeuroformⅡ stenting and coiling.And all patients were received angiographic and followed-up after the treatment.ResultsThe NeuroformⅡ stents were deployed in every patient and total occlusion was obtained in 68 cases and more than 90% occlusion in 18 cases.The patients recovered well with patency of the parent arteries.No re-bleeding or symptom related to thrombosis occurred during clinical following-up.Angiogram showed no recanalization in 56 out of 59 cases,there were 5 patients with mild stenosis in proximal segment of the stents.ConclusionNeuroformⅡstents combined with coiling for treatment of wide-necked cerebral aneurysms was a safety and valid method.However,long-term outcome need further study.

  • 【文献出处】 宁夏医学杂志 ,Ningxia Medical Journal , 编辑部邮箱 ,2008年12期
  • 【分类号】R743.3
  • 【被引频次】3
  • 【下载频次】49
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