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在血管内线圈栓塞期间,使用 Solitaire AB 装置对两名患者的脑动脉瘤进行机械取栓。

Mechanical thrombectomy in two patients using the Solitaire AB device in cerebral aneurysms during endovascular coil embolisation.

机构信息

Department of Neurosurgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

出版信息

J Clin Neurosci. 2012 Dec;19(12):1736-8. doi: 10.1016/j.jocn.2012.01.035. Epub 2012 Sep 16.

DOI:10.1016/j.jocn.2012.01.035
PMID:22989788
Abstract

Two men, 52 years and 54 years of age, presented with subarachnoid haemorrhage as a result of ruptured cerebral aneurysms. Both patients were treated with endovascular coil embolisation. Thromboembolic complications occurred in the middle cerebral artery during the procedure, and local thrombectomy was performed for recanalisation. Digital subtraction angiography revealed the immediate restoration of flow after mechanical thrombectomy with a stent in both patients. The Solitaire AB stent (ev3, Plymouth, MN, USA) can rapidly, safely, and effectively retrieve clots from the middle cerebral artery during endovascular embolisation.

摘要

两名 52 岁和 54 岁男性因破裂的脑动脉瘤而出现蛛网膜下腔出血。两名患者均接受了血管内线圈栓塞治疗。在手术过程中,大脑中动脉发生血栓栓塞并发症,并进行局部血栓切除术以再通。数字减影血管造影显示,在机械血栓切除术和支架置入后,两名患者的血流即刻恢复。Solitaire AB 支架(ev3,明尼苏达州普利茅斯)可在血管内栓塞过程中快速、安全、有效地从大脑中动脉中取出血栓。

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引用本文的文献

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Thrombus remnant despite intra-arterial thrombolysis for thrombus formation during endovascular treatment of ruptured cerebral aneurysms: Does it harm?破裂性脑动脉瘤血管内治疗期间形成血栓后进行动脉内溶栓仍残留血栓:这有危害吗?
Interv Neuroradiol. 2016 Aug;22(4):407-12. doi: 10.1177/1591019916641314. Epub 2016 Apr 11.