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逆行支架辅助弹簧圈栓塞术治疗宽颈或合并分支的后交通动脉瘤

Retrograde Stent-assisted Coil Embolization of Wide-neck or Branch-incorporated Posterior Communicating Artery Aneurysm.

作者信息

Park Jeong Woo, Cheong Jin Hwan, Choi Kyu Sun, Park Dong Woo, Ryu Je Il, Kim Jae Min, Kim Choong Hyun

机构信息

Department of Neurosurgery, Hanyang University Guri Hospital, Guri, Korea.

Department of Neurosurgery, Asan Medical Center, Seoul, Korea.

出版信息

J Cerebrovasc Endovasc Neurosurg. 2016 Jun;18(2):124-128. doi: 10.7461/jcen.2016.18.2.124. Epub 2016 Jun 30.

DOI:10.7461/jcen.2016.18.2.124
PMID:27790404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5081498/
Abstract

Endovascular coil embolization using a balloon- or stent-assisted technique for the treatment of wide-necked posterior communicating artery (PcomA) aneurysms is well established. However, complete aneurysm occlusion with preservation of the PcomA can be difficult in case of wide-neck aneurysms with a PcomA incorporation. We present two cases of stent-assisted coil embolization using a retrograde approach through the posterior circulation for wide-neck or branch-incorporated PcomA aneurysms. Retrograde stenting was successful without periprocedural complications. These aneurysms were completely occluded. The patency of the PcomA was maintained in all cases.

摘要

采用球囊或支架辅助技术进行血管内弹簧圈栓塞治疗宽颈后交通动脉（PcomA）动脉瘤已得到广泛认可。然而，对于合并PcomA的宽颈动脉瘤，要在保留PcomA的情况下实现动脉瘤完全闭塞可能具有挑战性。我们报告了两例通过后循环逆行途径对宽颈或合并分支的PcomA动脉瘤进行支架辅助弹簧圈栓塞的病例。逆行支架置入成功，且未发生围手术期并发症。这些动脉瘤均实现完全闭塞。所有病例中PcomA均保持通畅。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3255/5081498/a83b4404a23d/jcen-18-124-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3255/5081498/c50d672bf161/jcen-18-124-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3255/5081498/a83b4404a23d/jcen-18-124-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3255/5081498/c50d672bf161/jcen-18-124-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3255/5081498/a83b4404a23d/jcen-18-124-g002.jpg

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Stent-assisted coil embolization of posterior communicating artery aneurysms.支架辅助弹簧圈栓塞治疗后交通动脉瘤。
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Retrograde stent placement for coil embolization of a wide-necked posterior inferior cerebellar artery aneurysm.
为宽颈后下小脑动脉动脉瘤的线圈栓塞进行逆行支架置入。
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