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宽颈基底动脉尖动脉瘤的水平支架辅助弹簧圈栓塞术：两例病例比较

Horizontal Stent Assisted Coiling of Wide Neck Basilar Tip Aneurysm: Comparison of Two Cases.

作者信息

Kim Young Jin, Sung Jae Hoon, Hong Jae Taek, Lee Sang Won

机构信息

Department of Neurosurgery, Cheongju St. Mary's Hospital, The Catholic University of Korea, Cheongju, Korea.

Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea.

出版信息

J Cerebrovasc Endovasc Neurosurg. 2017 Sep;19(3):201-206. doi: 10.7461/jcen.2017.19.3.201. Epub 2017 Sep 30.

DOI:10.7461/jcen.2017.19.3.201
PMID:29159154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5680084/
Abstract

Currently, endovascular coiling is a popular treatment for basilar tip aneurysms, which usually involve a wide neck. Serious complications can occur when the posterior cerebral artery (PCA) originating from a wide neck is not properly preserved. Accordingly, various adjunctive procedures using stents or a balloon have been introduced. Herein we report two cases of basilar tip aneurysms in which retrograde horizontal (from one PCA to the other PCA) stent-assisted coiling was successful, and we provide a summary of the important technical points.

摘要

目前，血管内栓塞术是治疗基底动脉尖动脉瘤的常用方法，这类动脉瘤通常具有较宽的瘤颈。当起源于宽颈处的大脑后动脉（PCA）未得到妥善保留时，可能会发生严重并发症。因此，已引入了各种使用支架或球囊的辅助手术。在此，我们报告两例基底动脉尖动脉瘤病例，其中逆行水平（从一侧PCA到另一侧PCA）支架辅助栓塞术取得成功，并总结了重要的技术要点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00f6/5680084/5803738567b0/jcen-19-201-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00f6/5680084/5803738567b0/jcen-19-201-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00f6/5680084/5803738567b0/jcen-19-201-g001.jpg

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Cell Biochem Biophys. 2015 Apr;71(3):1281-6. doi: 10.1007/s12013-014-0344-3.
2
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J Neurointerv Surg. 2013 May;5(3):212-6. doi: 10.1136/neurintsurg-2012-010301. Epub 2012 Mar 27.
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