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采用Tubridge血流导向装置治疗的完全闭塞大型颅内动脉瘤的晚期复发

Late recurrence of a completely occluded large intracranial aneurysm treated with a Tubridge flow diverter.

作者信息

Zhang Xiaoxi, Lv Nan, Wang Chi, Cao Wei, Liu Jianmin, Huang Qinghai

机构信息

Department of Neurosurgery, Changhai Hospital, Second Military Medical University, Shanghai, China.

出版信息

BMJ Case Rep. 2016 Jun 21;2016:bcr2016012268. doi: 10.1136/bcr-2016-012268.

DOI:10.1136/bcr-2016-012268
PMID:27329093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4932404/
Abstract

We report a rare case of recurrence of a large intracavernous aneurysm after angiography proved complete occlusion. The aneurysm was treated by a combination of a Tubridge flow diverter and coils, and balloon angioplasty, after flow diverter devices deployment for parent vessel stenosis. Six month angiographic follow-up demonstrated complete occlusion. Unfortunately, obvious aneurysm recurrence was confirmed on 2 year angiographic follow-up. The probable mechanism of recurrence was analyzed.

摘要

我们报告了一例罕见的海绵窦内大动脉瘤在血管造影证实完全闭塞后复发的病例。该动脉瘤在血流导向装置用于治疗载瘤血管狭窄后,采用Tubridge血流导向装置和弹簧圈联合治疗,并进行了球囊血管成形术。6个月的血管造影随访显示完全闭塞。不幸的是,在2年的血管造影随访中证实动脉瘤明显复发。分析了复发的可能机制。

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2
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本文引用的文献

1
Long-Term Outcome of Tubridge Flow Diverter(S) in Treating Large Vertebral Artery Dissecting Aneurysms-A Pilot Study.Tubridge血流导向装置治疗大型椎动脉夹层动脉瘤的长期疗效——一项前瞻性研究
Clin Neuroradiol. 2017 Sep;27(3):345-350. doi: 10.1007/s00062-015-0494-8. Epub 2016 Jan 15.
2
Comparison of the flow diverter and stent-assisted coiling in large and giant aneurysms: safety and efficacy based on a propensity score-matched analysis.大型和巨大动脉瘤中血流导向装置与支架辅助弹簧圈栓塞术的比较:基于倾向评分匹配分析的安全性和有效性
Eur Radiol. 2016 Jul;26(7):2369-77. doi: 10.1007/s00330-015-4052-1. Epub 2015 Oct 15.
3
Endovascular treatment of cerebral aneurysms using flow-diverter devices: A systematic review.使用血流导向装置对脑动脉瘤进行血管内治疗:一项系统评价。
Neuroradiol J. 2015 Aug;28(4):365-75. doi: 10.1177/1971400915602803. Epub 2015 Aug 27.
4
Flow Diversion Technologies in Evolution: A Review of the First Two Generations of Flow Diversion Devices.血流导向技术的发展历程:第一代和第二代血流导向装置综述
World Neurosurg. 2015 Aug;84(2):254-6. doi: 10.1016/j.wneu.2015.03.010. Epub 2015 Mar 28.
5
Mechanisms of Healing in Coiled Intracranial Aneurysms: A Review of the Literature.盘绕型颅内动脉瘤的愈合机制:文献综述
AJNR Am J Neuroradiol. 2015 Jul;36(7):1216-22. doi: 10.3174/ajnr.A4175. Epub 2014 Nov 27.
6
Treatment of intracranial aneurysms by flow diverter devices: long-term results from a single center.血流导向装置治疗颅内动脉瘤:单中心长期结果
Eur J Radiol. 2014 Sep;83(9):1683-90. doi: 10.1016/j.ejrad.2014.05.029. Epub 2014 Jun 2.
7
Flow diverters for intracranial aneurysms.用于颅内动脉瘤的血流导向装置。
Stroke Res Treat. 2014;2014:415653. doi: 10.1155/2014/415653. Epub 2014 May 20.
8
A novel flow-diverting device (Tubridge) for the treatment of 28 large or giant intracranial aneurysms: a single-center experience.一种用于治疗28例大型或巨大型颅内动脉瘤的新型血流导向装置(Tubridge):单中心经验。
AJNR Am J Neuroradiol. 2014 Dec;35(12):2326-33. doi: 10.3174/ajnr.A3925. Epub 2014 Apr 10.
9
In vitro reproduction of device deformation leading to thrombotic complications and failure of flow diversion.体外再现导致血栓形成并发症和血流分流失败的装置变形。
Interv Neuroradiol. 2013 Dec;19(4):432-7. doi: 10.1177/159101991301900405. Epub 2013 Dec 18.
10
Volume changes of extremely large and giant intracranial aneurysms after treatment with flow diverter stents.血流导向装置治疗后巨大和极大颅内动脉瘤体积变化。
Neuroradiology. 2014 Jan;56(1):51-8. doi: 10.1007/s00234-013-1304-0. Epub 2013 Dec 7.