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线性支架辅助弹簧圈栓塞:治疗宽颈颅内动脉瘤的另一种方法。

Linear stent-assisted coiling: another way to treat very wide-necked intracranial aneurysms.

机构信息

Department of Diagnostic and Interventional Neuroradiology, Erasme University Hospital, Brussels, Belgium.

出版信息

Neuroradiology. 2011 Jun;53(6):457-9. doi: 10.1007/s00234-010-0792-4. Epub 2010 Nov 19.

DOI:10.1007/s00234-010-0792-4
PMID:21088964
Abstract

We report a new technique of "linear" stent-assisted coiling for the endovascular treatment (EVT) of a large and very wide-necked unruptured middle cerebral artery (MCA) bifurcation aneurysm in a 45-year-old man. Two self-expandable stents were delivered within the MCA bifurcation branches with both proximal stent ends facing each other within the MCA bifurcation. Thanks to this linear stents placement, complete aneurysm neck coverage was obtained in order to safely coil the sac.

摘要

我们报道了一种新的“线性”支架辅助弹簧圈技术,用于治疗一位 45 岁男性的大型、非常宽颈未破裂大脑中动脉(MCA)分叉部动脉瘤。两个自膨式支架被输送到 MCA 分叉部分支内,近端支架末端在 MCA 分叉内相对。由于这种线性支架的放置,可以完全覆盖动脉瘤颈部,从而安全地填塞动脉瘤囊。

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本文引用的文献

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Neuroradiology. 2011 Dec;53(12):961-72. doi: 10.1007/s00234-010-0766-6. Epub 2010 Sep 7.
2
Stenting is improving and stabilizing anatomical results of coiled intracranial aneurysms.支架置入术正在改善和稳定颅内动脉瘤栓塞治疗的解剖学效果。
Neuroradiology. 2009 Jun;51(6):419-25. doi: 10.1007/s00234-009-0519-6. Epub 2009 Mar 26.
3
Endovascular occlusion of intracranial wide-necked aneurysms with stenting (Neuroform) and coiling: mid-term and long-term results.
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AJNR Am J Neuroradiol. 2014 Nov-Dec;35(11):2153-8. doi: 10.3174/ajnr.A4060. Epub 2014 Jul 24.
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Modified protection using far proximal portion of self-expandable closed-cell stents for embolization of wide-necked intracranial aneurysms.使用自膨式闭孔支架远侧近端部分对宽颈颅内动脉瘤进行栓塞的改良保护方法。
Neuroradiology. 2014 Oct;56(10):851-7. doi: 10.1007/s00234-014-1402-7. Epub 2014 Jul 20.
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AJNR Am J Neuroradiol. 2013 Sep;34(9):1778-84. doi: 10.3174/ajnr.A3464. Epub 2013 Mar 28.
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Neurointervention. 2011 Aug;6(2):53-70. doi: 10.5469/neuroint.2011.6.2.53. Epub 2011 Aug 31.
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