本文選題：眼動脈段動脈瘤　切入點：血管內(nèi)栓塞　出處：《介入放射學雜志》2016年09期 　論文類型：期刊論文

【摘要】：目的探討頸內(nèi)動脈眼動脈段動脈瘤血管內(nèi)栓塞治療方法及技術要點。方法回顧性分析2012年5月至2015年4月鄭州大學第一附屬醫(yī)院采用血管內(nèi)栓塞術治療48例眼動脈段動脈瘤患者影像及臨床資料、治療效果及隨訪結果,探討治療方法及技術要點。結果 48例患者49枚動脈瘤均栓塞成功,其中單純彈簧圈栓塞17枚(雙微導管3枚),球囊輔助栓塞2枚,支架輔助栓塞28枚(Leo支架3枚,Lvis支架5枚,Enterprise支架14枚,Solatire AB支架6枚),Willis覆膜支架隔絕1枚,Pipeline密網(wǎng)支架植入1枚。術后即刻DSA造影顯示,Raymond栓塞分級Ⅰ級34枚(69%),Ⅱ級9枚(18%),Ⅲ級6枚(13%)。術中發(fā)生支架內(nèi)血栓形成2例。48例均達到臨床治愈,出院時改良Rankin量表(m RS)評分0分44例,1分2例,4分2例(該2例治療前≥4分);出院后3個月至1年m RS評分0分46例,2分1例,4分1例,均無新發(fā)神經(jīng)功能障礙及出血。20例DSA隨訪1~21個月,18例痊愈,1例明顯好轉(zhuǎn),1例明顯復發(fā),再次手術致密栓塞。結論血管內(nèi)栓塞治療眼動脈段動脈瘤是一種微創(chuàng)、安全有效的方法,選擇不同栓塞技巧是保證手術成功、減少術后并發(fā)癥、提高治愈率的關鍵。
[Abstract]:Objective to explore the methods and technical points of endovascular embolization of ophthalmic artery aneurysms of internal carotid artery. Methods from May 2012 to April 2015, 48 cases of eye movements were treated with endovascular embolization in the first affiliated Hospital of Zhengzhou University. Imaging and clinical data of patients with venous aneurysm, Results all 49 aneurysms of 48 patients were successfully embolized, of which 17 were embolized by simple coils (3 with double microcatheter and 2 with balloon assisted embolization). Stent-assisted embolization of 28 Leo stents: 3 Lvis stents, 5 Lvis stents, 14 Enterprise stents, 6 Solatire AB stents, 6 laminar Willis stents, 1 pipeline stent, immediately after operation, DSA angiography revealed that 34 patients with grade 鈪，

本文編號：1610683