| 刘爱华,吴中学,李佑祥,张静波,姜除寒,杨新健.血管内支架技术治疗颅内椎动脉动脉瘤[J].中国医学影像技术,2005,21(3):450~452 |
| 血管内支架技术治疗颅内椎动脉动脉瘤 |
| Endovascular stent placement for vertebral artery aneurysms |
| 投稿时间：2004-11-09 修订日期：2005-02-21 |
| DOI： |
| 中文关键词: 血管内支架 椎动脉 梭形动脉瘤 夹层动脉瘤 弹簧圈 |
| 英文关键词:Endovascular stent Vertebral artery Fusiform aneurysm Dissecting aneurysm GDC |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨血管内支架技术在颅内椎动脉动脉瘤的应用价值。方法 回顾性分析18例采用支架治疗的颅内椎动脉动脉瘤,其中椎动脉梭形动脉瘤10例,全部一期支架结合弹簧圈技术治疗;椎动脉夹层动脉瘤8例,单纯支架技术4例,支架技术二期联合弹簧圈技术治疗4例。结果 16例造影随访3~24个月全部治愈,无复发及狭窄。2例术后出现一过性脑缺血的表现。结论 在治疗椎动脉梭形及夹层动脉瘤时应区别对待,血管内支架辅助GDC技术可保持载瘤动脉通畅,是一种安全、有效的选择。 |
| 英文摘要: |
| Objective To evaluate the technique of stent placement in treatment of vertebral artery aneurysms. Methods Eighteen patients with aneurysms which underwent stent placement were retrospectively analyzed, 10 fusiform aneurysms which performed by using stent and GDC; 8 dissecting aneurysms which performed by using stent first, stent placement was followed by coil placement in 4 aneurysms. Results Sixteen patients were followed up by angiographic studies from 3 to 24 months, all patients were cured, revealing no aneurysm regrowth and no incident of in-stent stenosis, 2 of 18 aneurysm showed up transient ischemia of cerebral. Conclusion The treatment of fusiform aneurysms and dissecting aneurysm of vertebral artery is distinguishing, using stent combined with GDC to treat fusiform and dissecting aneurysm may restore the patency of parent artery. |
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