直接颈动脉穿刺用于前循环动脉瘤的血管内治疗。
Direct carotid puncture for the endovascular treatment of anterior circulation aneurysms.
作者信息
Nii K, Kazekawa K, Onizuka M, Aikawa H, Tsutsumi M, Tomokiyo M, Iko M, Kodama T, Matsubara S, Go Y, Tanaka A
机构信息
Department of Neurosurgery, Fukuoka University Chikushi Hospital, 377-1 Ohara-Zokumyoin, Chikushino City, Fukuoka 818-8592, Japan.
出版信息
AJNR Am J Neuroradiol. 2006 Aug;27(7):1502-4.
Abstract
We report the usefulness of Guglielmi detachable coil (GDC) embolization by direct carotid puncture for anterior circulation aneurysms. For all 27 patients, GDC embolization by direct carotid puncture was safely performed by using a 5F sheath introducer 5 cm long and a Tracker-38 catheter. Neurologic deficits and hemorrhage were not found in any patient during the follow-up period. If the transfemoral approach cannot be applied, GDC embolization should be considered as an alternative method.
摘要
我们报告了经颈动脉直接穿刺使用 Guglielmi 可脱卸弹簧圈（GDC）栓塞治疗前循环动脉瘤的有效性。对于所有 27 例患者，使用 5cm 长的 5F 鞘管导入器和 Tracker-38 导管经颈动脉直接穿刺成功实施了 GDC 栓塞。随访期间所有患者均未出现神经功能缺损和出血情况。如果不能采用经股动脉入路，应考虑将 GDC 栓塞作为一种替代方法。
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