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实验性颈动脉动脉瘤支架置入后的形态学和血流动力学变化。

Morphologic and haemodynamic changes after stent placement for experimental carotid aneurysm.

作者信息

Tenjin H

机构信息

Department of Neurosurgery; Kyoto Prefectural Yosanoumi Hospital Kyotofu; Japan -

出版信息

Interv Neuroradiol. 2004 Mar 30;10 Suppl 1(Suppl 1):153-4. doi: 10.1177/15910199040100S126. Epub 2008 Jun 9.

DOI:10.1177/15910199040100S126
PMID:20587292
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3490164/
Abstract

We investigated and compared the morphologic and haemodynamic changes between before and after stent placement when several different kinds of stents were applied to experimental aneurysms. Experimental aneurysms in eight pig carotid arteries were used. Stents were placed covering the aneurysm orifice. Five Cordis stents (coil stent), two GFXs (multilink stent), and one Multilink (tube stent) were used in this study. After stent placement, the arteries were perfused with 70% ethanol, the specimens were embedded in polyester plastic resin and thin slices were stained with hemtoxilin-eosin. Blood flow in the aneurysm was measured using digital subtraction angiography. The parent artery was stretched in multilink stent (GFX) cases, and was most markedly stretched by use of the tube stent (Multilink). Stent placement with any type of stent decreased intra-aneurysmal blood flow.

摘要

我们研究并比较了将几种不同类型的支架应用于实验性动脉瘤时,支架置入前后的形态学和血流动力学变化。使用了八只猪颈动脉的实验性动脉瘤。将支架放置在覆盖动脉瘤口处。本研究使用了五个Cordis支架(线圈支架)、两个GFX支架(多连杆支架)和一个多连杆支架(管状支架)。支架置入后,用70%乙醇灌注动脉,将标本嵌入聚酯塑料树脂中,薄片用苏木精-伊红染色。使用数字减影血管造影测量动脉瘤内的血流。在多连杆支架(GFX)病例中,母动脉被拉伸,而使用管状支架(多连杆)时拉伸最为明显。使用任何类型的支架进行支架置入都会降低动脉瘤内的血流。

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引用本文的文献

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Intracranial stenting in the treatment of wide-necked aneurysms.颅内支架置入术治疗宽颈动脉瘤。
Interv Neuroradiol. 2007 Mar;13(1):19-30. doi: 10.1177/159101990701300103. Epub 2007 Jun 27.

本文引用的文献

1
Combined endovascular stenting and endosaccular coiling for the treatment of a wide-necked intracranial vertebral aneurysm. Technical case report.
Interv Neuroradiol. 1999 Sep 30;5(3):245-9. doi: 10.1177/159101999900500307. Epub 2001 May 15.
2
Stenting and secondary coiling of intracranial internal carotid artery aneurysm: technical case report.颅内颈内动脉瘤的支架置入及二期弹簧圈栓塞:技术病例报告
Neurosurgery. 1998 Nov;43(5):1229-34. doi: 10.1097/00006123-199811000-00130.
3
Combined endovascular stent implantation and endosaccular coil placement for the treatment of a wide-necked vertebral artery aneurysm: technical case report.联合血管内支架植入术和囊内弹簧圈置入术治疗宽颈椎动脉动脉瘤:技术病例报告
Neurosurgery. 1998 Aug;43(2):380-3; discussion 384. doi: 10.1097/00006123-199808000-00127.
4
Intravascular stent and endovascular coil placement for a ruptured fusiform aneurysm of the basilar artery. Case report and review of the literature.血管内支架及血管内弹簧圈置入治疗基底动脉梭形动脉瘤破裂:病例报告及文献复习
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Modeling of flow in a straight stented and nonstented side wall aneurysm model.直形带支架和无支架侧壁动脉瘤模型中的血流建模。
J Biomech Eng. 1997 May;119(2):206-12. doi: 10.1115/1.2796081.
6
Alteration of hemodynamics in aneurysm models by stenting: influence of stent porosity.支架置入对动脉瘤模型血流动力学的改变:支架孔隙率的影响
Ann Biomed Eng. 1997 May-Jun;25(3):460-9. doi: 10.1007/BF02684187.
7
Endovascular treatment of fusiform aneurysms with stents and coils: technical feasibility in a swine model.使用支架和弹簧圈对梭形动脉瘤进行血管内治疗:猪模型中的技术可行性
AJNR Am J Neuroradiol. 1995 Nov-Dec;16(10):1953-63.
8
Combined stent implantation and endosaccular coil placement for treatment of experimental wide-necked aneurysms: a feasibility study in swine.联合支架植入与囊内弹簧圈置入治疗实验性宽颈动脉瘤:猪的可行性研究
AJNR Am J Neuroradiol. 1994 Jun;15(6):1087-90.