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时间:2020-03-26
《血管内治疗椎基底动脉夹层动脉瘤 (附45例分析).doc》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、血管内治疗椎基底动脉夹层动脉瘤(附45例分析)作者:黄伟单位:中国人民解放军第二军医大学长海医院神经外科,上海200433【摘要】目的总结椎基底动脉夹层动脉瘤的诊断和血管内治疗经验。方法采用血管内介入治疗椎基底动脉夹层动脉瘤45例,英中支架辅助弹簧圈栓塞31例,单纯支架置入8例,夹层责任动脉单纯弹簧圈闭塞6例。结果44例病人于治疗后1〜46个月获造影随访,平均16.3个月。临床症状均不同程度改善,无再IB.1(11.026例支架辅助弹•簧圈即刻致密栓塞的病人,动脉瘤未再显影;5例即刻大部栓塞者中,瘤体扩大、复发1例。7例单纯支架置入病人中,可见进行性血栓形成3例,无明显
2、变化3例,另1例双BX支架重巒置入者支架狭窄变形,推动脉闭塞。6例责任动脉闭塞病人,闭塞效果均切实。结论血管内治疗是椎基底动脉夹层动脉瘤理想的选择。【关键词】颅内动脉瘤基底动脉支架栓塞治疗性EndovascularmanagementforvertebrobasilardissectinganeurysmsHUANGWei,LIUJianmin,XUYi,etal.DepartmentofNeurosurgery,ChanghaiHospital,SecondMilitaryMedicalUniversity,Shanghai200433,ChinaAbstract:O
3、bjectiveTosummarizeexperiencesindiagnosisandendovascularmanagementtorvertebrobasilardissectinganeurysms(VDAs)・MethodsEndovascularinterventionalprocedureswereadoptedintotally45VDApatients,includingstent-coilembolizationin31,stentimplantationalonein&andsimpleembolizationwithcoilsin6.Result
4、sForty-fourcaseswerefollowed-upangiographicallyfrom1monthto46months(mean16.3).Allclinicalsymptomswereimprovedtodifferentextents,andnohemorrhagerecurred.Follow-upshoweddisappearanceofalltheaneurysmsin26patientswhoseaneurysmwasdenselypackedbystent-assistedcoiling.Recurrencewasfoundin1caseo
5、f5partiallypackedaneurysms・Inthe7casestreatedbystentimplantationalone,progressivethrombosisandnoregrowthoftheaneurysmwerefoundin3caseseach,andtherestonewhichhaddoubleBX-stentplacementsufferedvertebralarteryocclusionowingtostentdeformation.Stableocclusionwasdemonstratedin6patientswhosepar
6、entarterywasembolizedwithcoilalone・ConclusionEndovasculartreatmentistheidealchoicetotreattheVDAs.Keywords:intracranidaneursm;basilarartery;stents;embolization,therapeutic2000年12月〜2006年3月,我科运用血管内介入技术治疗椎基底动脉夹层动脉瘤(VDA)45例,现总结报告如下。1对象与方法1.1一般资料男28例,女17例;年龄20〜70岁,平均40.5岁。高血压病史14例,头颈部外伤史1例。临床表
7、现为头痛42例,眩晕3例;合并短暂意识丧失6例,伴行走不稳、吞咽困难和对侧浅感觉减退2例。1.2神经影像检查均行头颅CT及DSA检查。术前行MRI检杳23例,MRA检查11例。头颅CT示环池蛛网膜下腔出血或合并脑室积血42例,无特殊农现3例。MRI显示双腔征1例,内膜瓣2例,动脉樂内血肿1例;MRA显示均呈瘤样扩张,其中近端伴狭窄4例。42例CT显示出血的病人中,DSA显示珠线征39例,不规则瘤样扩张2例,双腔征1例;3例CT显示无出血病人中,DSA显示近端瘤样扩张、远端椎动脉闭塞1例,两端瘤样扩张、中间狭窄1例,珠线征1例。1.3治疗经
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