国产Tubridge分流器在未破裂颅内动脉瘤治疗中的应用

Q4 Medicine

中华神经外科杂志 Pub Date : 2019-09-28 DOI:10.3760/CMA.J.ISSN.1001-2346.2019.09.009

Li Li, Tianxiao Li, Qiuji Shao, Guanglin Zhang, Liang-fu Zhu, Jiang-yu Xue, Zi-liang Wang, W. Bai

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引用次数: 0

摘要

目的探讨国产Tubridge分流器治疗颅内未破裂动脉瘤的疗效和安全性。方法收集2018年4月至2019年1月郑州大学人民医院神经外科收治的23例33个未破裂颅内动脉瘤患者的资料。所有患者均使用国产Tubridge分流器进行治疗。其中28个动脉瘤采用Tubridge单药治疗，5个动脉瘤应用Tubridge联合弹簧圈治疗。数字减影血管造影术（DSA）用于评估支架植入的条件。采用Raymond分类法评价代谢的疗效。临床结果根据改良的兰金量表（mRS）进行评估。结果支架置入成功率为96%（26/27）。术后发生缺血性并发症2例。所有患者均进行了6个月的随访。5例11个动脉瘤的DSA检查结果显示，8个动脉瘤完全闭塞，1例无症状性母动脉狭窄。mRS评分为0分21例，1分1例，2分1例。结论Tubridge分流器治疗颅内未破裂动脉瘤的近期疗效满意，术后并发症发生率低。关键词：颅内动脉瘤；血管内手术；治疗结果；术后并发症；分流器

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Application of domestic Tubridge flow diverter in the treatment of unruptured intracranial aneurysms

Objective To investigate the efficacy and safety of domestic Tubridge flow diverter in the treatment of unruptured intracranial aneurysms. Methods From April 2018 to January 2019, data were collected from 23 patients with 33 unruptured intracranial aneurysms admitted to Department of Neurosurgery, People′s Hospital of Zhengzhou University. All patients were treated with domestic Tubridge flow diverter. Among them, 28 aneurysms were treated with Tubridge alone and 5 were treated with Tubridge combined with coiling. Digital subtraction angiography (DSA) was used to evaluate the conditions of stent implantation. The efficacy of emobolization was evaluated by Raymond classification.Clinical outcomes were assessed based on the modified Rankin scale (mRS). Results The success rate of stent implantation was 96% (26/27). Ischemic postoperative complications occurred in 2 cases. All patients were followed up for 6 months. DSA results from 5 patients with 11 aneurysms showed that 8 aneurysms were completely occluded and non-symptomatic stenosis of parent artery was found in 1 case. The mRS score was 0 in 21 cases, 1 in 1 case and 2 in 1 case. Conclusions The short-term effect of Tubridge flow diverter in the treatment of unruptured intracranial aneurysms seems to be satisfactory with low postoperative complication rate. Key words: Intracranial aneurysm; Endovascular procedures; Treatment outcome; Postoperative complications; Flow diverter

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来源期刊

中华神经外科杂志 Medicine-Surgery

CiteScore

0.10

自引率

0.00%

发文量

10706

期刊介绍： Chinese Journal of Neurosurgery is one of the series of journals organized by the Chinese Medical Association under the supervision of the China Association for Science and Technology. The journal is aimed at neurosurgeons and related researchers, and reports on the leading scientific research results and clinical experience in the field of neurosurgery, as well as the basic theoretical research closely related to neurosurgery.Chinese Journal of Neurosurgery has been included in many famous domestic search organizations, such as China Knowledge Resources Database, China Biomedical Journal Citation Database, Chinese Biomedical Journal Literature Database, China Science Citation Database, China Biomedical Literature Database, China Science and Technology Paper Citation Statistical Analysis Database, and China Science and Technology Journal Full Text Database, Wanfang Data Database of Medical Journals, etc.