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本文引用的文献

1
Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association.未破裂颅内动脉瘤患者管理指南：美国心脏协会/美国卒中协会给医疗保健专业人员的指南
Stroke. 2015 Aug;46(8):2368-400. doi: 10.1161/STR.0000000000000070. Epub 2015 Jun 18.
2
Balloon guide catheter improves revascularization and clinical outcomes with the Solitaire device: analysis of the North American Solitaire Acute Stroke Registry.球囊导引导管可改善 Solitaire 装置再通效果和临床结局：北美 Solitaire 急性脑卒中注册研究分析。
Stroke. 2014 Jan;45(1):141-5. doi: 10.1161/STROKEAHA.113.002407. Epub 2013 Dec 3.
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Comparative effectiveness of unruptured cerebral aneurysm therapies: propensity score analysis of clipping versus coiling.未破裂脑动脉瘤治疗的疗效比较：夹闭术与血管内介入治疗的倾向评分分析。
Stroke. 2013 Apr;44(4):988-94. doi: 10.1161/STROKEAHA.111.000196. Epub 2013 Feb 28.
4
Treatment of ruptured and unruptured cerebral aneurysms in the USA: a paradigm shift.美国破裂和未破裂脑动脉瘤的治疗：范式转变。
J Neurointerv Surg. 2012 May;4(3):182-9. doi: 10.1136/jnis.2011.004978. Epub 2011 Jun 23.
5
Better outcomes with treatment by coiling relative to clipping of unruptured intracranial aneurysms in the United States, 2001-2008.美国 2001-2008 年未破裂颅内动脉瘤的血管内介入治疗（弹簧圈栓塞）相对于开颅夹闭手术的疗效更好。
AJNR Am J Neuroradiol. 2011 Jun-Jul;32(6):1071-5. doi: 10.3174/ajnr.A2453. Epub 2011 Apr 21.
6
Safety and efficacy of balloon remodeling technique during endovascular treatment of intracranial aneurysms: critical review of the literature.颅内动脉瘤血管内治疗中球囊重塑技术的安全性和有效性：文献综述。
AJNR Am J Neuroradiol. 2012 Jan;33(1):12-5. doi: 10.3174/ajnr.A2403. Epub 2011 Feb 24.
7
Hospital mortality and complications of electively clipped or coiled unruptured intracranial aneurysm.择期夹闭或栓塞颅内未破裂动脉瘤的住院死亡率和并发症。
Stroke. 2010 Jul;41(7):1471-6. doi: 10.1161/STROKEAHA.110.580647. Epub 2010 Jun 3.
8
Association of endovascular therapy of very small ruptured aneurysms with higher rates of procedure-related rupture.非常小的破裂动脉瘤的血管内治疗与较高的手术相关破裂率相关。
J Neurosurg. 2008 Jun;108(6):1088-92. doi: 10.3171/JNS/2008/108/6/1088.
9
Age-dependent differences in short-term outcome after surgical or endovascular treatment of unruptured intracranial aneurysms in the United States, 1996-2000.1996 - 2000年美国未破裂颅内动脉瘤手术或血管内治疗后短期预后的年龄依赖性差异。
Neurosurgery. 2004 Jan;54(1):18-28; discussion 28-30. doi: 10.1227/01.neu.0000097195.48840.c4.
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Neurophysiological monitoring in the endovascular therapy of aneurysms.动脉瘤血管内治疗中的神经生理监测
AJNR Am J Neuroradiol. 2003 Sep;24(8):1520-7.

球囊辅助插管用于困难的大脑前动脉入路

Balloon-Assisted Cannulation for Difficult Anterior Cerebral Artery Access.

作者信息

Naragum Varun, AbdalKader Mohamad, Nguyen Thanh N, Norbash Alexander

机构信息

Department of Neurology and Radiology, Boston Medical Center, Boston, Massachusetts, USA.

Department of Radiology, Boston Medical Center, Boston, Massachusetts, USA.

出版信息

Interv Neurol. 2018 Feb;7(1-2):48-52. doi: 10.1159/000481542. Epub 2017 Nov 15.

DOI:10.1159/000481542
PMID:29628945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5881150/
Abstract

The anterior communicating artery is a common location for intracranial aneurysms. Compared to surgical clipping, endovascular coiling has been shown to improve outcomes for patients with ruptured aneurysms and we have seen a paradigm shift favoring this technique for treating aneurysms. Access to the anterior cerebral artery can be challenging, especially in patients with tortuous anatomy or subarachnoid hemorrhage or in patients presenting with vasospasm. We present a technique for cannulating the anterior cerebral artery using a balloon inflated in the proximal middle cerebral artery as a rebound surface.

摘要

前交通动脉是颅内动脉瘤的常见部位。与手术夹闭相比，血管内栓塞已被证明可改善破裂动脉瘤患者的治疗效果，并且我们已经看到一种有利于采用这种技术治疗动脉瘤的模式转变。进入大脑前动脉可能具有挑战性，尤其是在解剖结构迂曲、蛛网膜下腔出血的患者或出现血管痉挛的患者中。我们介绍一种利用在大脑中动脉近端充盈的球囊作为反弹表面来插管大脑前动脉的技术。