急性破裂颅内动脉瘤联合使用Neuroform支架置入术和弹簧圈栓塞术时的出血风险
Risk of hemorrhage in combined neuroform stenting and coil embolization of acutely ruptured intracranial aneurysms.
作者信息
Jankowitz B, Thomas A J, Vora N, Gupta R, Levy E, Yamamoto J, Kassam A, Gologorsky Y, Panapitiya N, Sandhu E, Crago E, Hricik A, Lee K, Gallek M, Jovin T, Horowitz M
机构信息
Department of Neurological Surgery, University of Pittsburgh Medical Center, Presbyterian Hospital, Pittsburgh, USA -
出版信息
Interv Neuroradiol. 2008 Dec 29;14(4):385-96. doi: 10.1177/159101990801400404. Epub 2009 Jan 5.
Abstract
Stenting as adjuvant therapy for the coiling of acutely ruptured aneurysms remains controversial due to the necessity of anticoagulation and antiplatelet medications. We report our experience using the Neuroform stent in the management of 41 aneurysms in 40 patients over a period of three years. For aneurysms whose open surgical risk remains excessive with a morphology that would preclude complete embolization, the risks of stenting may be warranted.
摘要
由于抗凝和抗血小板药物的必要性，支架置入作为急性破裂动脉瘤栓塞治疗的辅助疗法仍存在争议。我们报告了在三年时间里使用Neuroform支架治疗40例患者41个动脉瘤的经验。对于开放手术风险仍然过高且形态学上无法完全栓塞的动脉瘤，支架置入的风险可能是合理的。
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