[血管内支架与 Guglielmi 可解脱弹簧圈治疗后交通宽颈动脉瘤]
[Treatment of posterior-communicating wide-necked aneurysms with endovascular stent and Guglielmi detachable coils].
作者信息
Zhang Xin, Liu Jian-min, Xu Yi, Hong Bo, Huang Qing-hai, Zhang Long, Zhao Wen-yuan, Zhou Xiao-ping
机构信息
Department of Neurosurgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2003 Dec;41(12):920-3.
OBJECTIVE
To summarize our clinical experience in treating posterior-communicating wide-necked aneurysms using endovascular stent and Guglielmi detachable coils (GDCs).
METHODS
The coronary stents were implanted across the neck of 32 posterior-communication wide-necked aneurysms. Microcatheters were introduced into the aneurysm sac through stent mesh, GDCs were used to embolize aneurysms.
RESULTS
All operations were successful. Total occlusion was achieved in 26 patients, over 90% in 4, 60 - 70% in 2. The patients were perfectly recovered with patency of the parent arteries.
CONCLUSION
Endovascular therapy combined with stent implatation and GDC placement is a valid approach to the treatment of posterior-communication wide-necked aneurysms.
目的
总结应用血管内支架及 Guglielmi 可脱性弹簧圈（GDC）治疗后交通宽颈动脉瘤的临床经验。
方法
对 32 例后交通宽颈动脉瘤跨越瘤颈植入冠状动脉支架，通过支架网眼将微导管送入瘤腔，应用 GDC 栓塞动脉瘤。
结果
所有手术均获成功。26 例完全闭塞，4 例栓塞率超过 90%，2 例栓塞率为 60% - 70%。患者恢复良好，载瘤动脉通畅。
结论
血管内支架联合 GDC 置入治疗后交通宽颈动脉瘤是一种有效的方法。
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