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新型 Pipeline 栓塞装置在手术夹闭颅内动脉瘤后大脑中动脉再通中的应用。

Novel use of the pipeline embolization device for reperfusion of the middle cerebral artery post surgical aneurysm clipping.

机构信息

Department of Radiology, Medical University of South Carolina, Charleston, SC 29466, USA.

出版信息

J Neurointerv Surg. 2013 Sep 1;5(5):e29. doi: 10.1136/neurintsurg-2012-010383. Epub 2012 Jul 5.

DOI:10.1136/neurintsurg-2012-010383
PMID:22766535
Abstract

We describe a case in which elective surgical clipping of an internal carotid artery terminus aneurysm resulted in compromised flow through the ipsilateral middle cerebral artery (MCA). Reperfusion was salvaged the following day with novel use of the pipeline embolization device to buttress open the MCA. We believe that mechanical properties unique to the pipeline device facilitated the success of the procedure.

摘要

我们描述了一例患者，其颈内动脉终末段动脉瘤行择期手术夹闭后导致对侧大脑中动脉（MCA）血流受损。次日，采用新型Pipeline 栓塞装置支撑开通 MCA 以挽救再灌注。我们认为 Pipeline 装置的独特机械特性有助于该手术的成功。

相似文献

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Novel use of the pipeline embolization device for reperfusion of the middle cerebral artery post surgical aneurysm clipping.新型 Pipeline 栓塞装置在手术夹闭颅内动脉瘤后大脑中动脉再通中的应用。
J Neurointerv Surg. 2013 Sep 1;5(5):e29. doi: 10.1136/neurintsurg-2012-010383. Epub 2012 Jul 5.
2
Progressive deconstruction: a novel aneurysm treatment using the pipeline embolization device for competitive flow diversion: case report.渐进性解构：应用Pipeline 栓塞装置治疗颅内动脉瘤的一种新方法——竞争性血流导向：病例报告。
Neurosurgery. 2014 Mar;10 Suppl 1:E161-6; discussion E166. doi: 10.1227/NEU.0000000000000029.
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Transcirculation Pipeline embolization device deployment: a rescue technique.经循环管道栓塞装置置入：一种挽救技术。
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Vertebral artery-to-middle cerebral artery bypass with coil embolization of giant internal carotid artery aneurysm: technical case report.椎动脉至大脑中动脉搭桥术联合颈内动脉巨大动脉瘤弹簧圈栓塞术：技术病例报告
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Surgical management of an ACM aneurysm eight years after coiling.动脉瘤栓塞术后八年的前交通动脉瘤的外科治疗
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Endovascular embolization vs surgical clipping in treatment of cerebral aneurysms: morbidity and mortality with short-term outcome.血管内栓塞术与外科夹闭术治疗脑动脉瘤的比较：发病率、死亡率及短期预后
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Endovascular coiling of middle cerebral artery aneurysms as an alternative to surgical clipping.颅内血管内栓塞术治疗大脑中动脉动脉瘤作为手术夹闭的替代方法。
J Clin Neurosci. 2013 Apr;20(4):520-2. doi: 10.1016/j.jocn.2012.02.054. Epub 2013 Jan 31.

引用本文的文献

1
Flow-diversion panacea or poison?血流导向：万灵药还是毒药？
Front Neurol. 2014 Feb 28;5:21. doi: 10.3389/fneur.2014.00021. eCollection 2014.
2
What's coming down the pipe--and should we be excited, concerned, or both?
AJNR Am J Neuroradiol. 2013 Feb;34(2):388-90. doi: 10.3174/ajnr.A3425. Epub 2012 Nov 22.