用于复杂颅内动脉瘤支架辅助栓塞的动脉瘤内微导管成袢技术
Intra-aneurysmal microcatheter looping technique for stent-assisted embolization of complex intracranial aneurysms.
作者信息
Wang C-C, Lv N, Feng Z-Z, Li Z-F, Zhao R, Li Q, Liu J-M, Huang Q-H
机构信息
Department of Neurosurgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Department of Neurosurgery, Changhai Hospital, Second Military Medical University, Shanghai, China
出版信息
Interv Neuroradiol. 2015 Oct;21(5):580-4. doi: 10.1177/1591019915594330. Epub 2015 Jul 15.
The endovascular treatment of wide-necked, large and giant aneurysms remains challenging. This retrospective study investigated the feasibility and safety of an intra-aneurysmal microcatheter looping technique for stent-assisted embolization of complicated intracranial aneurysms.This technique was used for 31 patients with complicated cerebral aneurysms from January 2007 to November 2013. The clinical and angiographic results were retrospectively evaluated.The target aneurysms were successfully treated in all cases (100%). A flow diverter was used in seven procedures. There were no aneurysmal perforations or ischemic complications, except for a microguidewire perforation of the distal vessel in one case. Among the 24 cases with conventional stent-assisted embolization, complete embolization or neck residual was obtained in 21 cases. Partial occlusion occurred in three cases.In conclusion, the intra-aneurysmal microcatheter looping technique is a safe and feasible alternative treatment of complicated intracranial aneurysms. This approach is a reasonable choice for patients and leads to successful outcomes.
宽颈、大型和巨大动脉瘤的血管内治疗仍然具有挑战性。本回顾性研究探讨了动脉瘤内微导管成袢技术用于复杂颅内动脉瘤支架辅助栓塞的可行性和安全性。2007年1月至2013年11月，该技术用于31例复杂脑动脉瘤患者。对临床和血管造影结果进行回顾性评估。所有病例（100%）的目标动脉瘤均成功治疗。7例手术中使用了血流导向装置。除1例微导丝穿破远端血管外，未发生动脉瘤穿孔或缺血性并发症。在24例行传统支架辅助栓塞的病例中，21例实现完全栓塞或颈部残留，3例发生部分闭塞。总之，动脉瘤内微导管成袢技术是复杂颅内动脉瘤一种安全可行的替代治疗方法。该方法对患者是合理选择，并能带来成功的治疗结果。
Zotero 插件