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血管内介入治疗颅内微小动脉瘤 被引量:14

Endovascular treatment of micro-intracranial aneurysms
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摘要 目的:评价介入治疗颅内微小动脉瘤的临床效果,选择有效的手术方式。方法:回顾性分析栓塞治疗25例颅内微小动脉瘤(直径小于3.0mm)的手术方式及效果。均在全麻下行介入治疗。术后即刻血管造影:16例单纯弹簧圈栓塞中14例100%填塞,2例95%填塞;6例支架辅助弹簧圈栓塞中4例100%填塞,2例95%填塞。3例单纯支架覆盖瘤颈造影剂滞留加重。结果:单纯弹簧圈栓塞中10例复查,8例100%填塞,2例50%填塞;支架辅助弹簧圈栓塞4例复查,全部100%填塞。2例单纯支架覆盖瘤颈复查动脉瘤均不显影。结论:对颅内微小动脉瘤采取单纯使用弹簧圈或结合颅内支架栓塞是较好的治疗方法,治疗关键是治疗方法的选择和微导管的操作技术。 Objective:To assess the effect of micro-intracranial aneurysms using endovascular embolization and choose the effective treament.Mehtods:Embolotherapy and the effect of 25 patients with 25 micro-intracranial aneurysms that the diameter smaller than 3 millimeters(<3mm)was analyzed retrospectively.Angiography was performed after embolism immediately.Among 16 aneurysms embolized only with coil,14 aneurysms were embolized 100% and 2 aneurysms were embolization 95%.Among 6 aneurysms embolized with neuroform s...
出处 《华西医学》 CAS 2007年第4期704-705,共2页 West China Medical Journal
关键词 微小颅内动脉瘤 弹簧圈 栓塞 NEUROFORM支架 intracranial aneurysms endovascular embolization neuroform stent
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