手工制作微导丝套索装置处理颅内动脉瘤栓塞过程中移位弹簧圈

发布时间：2018-01-31 02:05

本文关键词： 颅内动脉瘤栓塞治疗性弹簧圈移位微导丝套索装置　出处：《中国脑血管病杂志》2015年07期 　论文类型：期刊论文

【摘要】：目的探讨手工制作微导丝套索装置处理血管内栓塞颅内动脉瘤术中移位弹簧圈的方法。方法使用手工制作的微导丝套索环将2枚移位弹簧圈从颅内动脉中取出体外。第1枚弹簧圈完全脱出动脉瘤囊并飘逸至大脑中动脉M2段,第2枚弹簧圈部分脱入载瘤动脉。微导丝套索装置由动脉瘤栓塞术中使用的0.36 mm(0.014 in)微导丝和0.43 mm(0.017 in)微导管,以4-0缝合丝线固定制成。结果将2枚移位弹簧圈取出体外后,造影均未见血管损伤和血栓形成,无动脉瘤破裂出血。患者麻醉清醒后无神经功能缺损。术后3个月随访,MR血管成像证实相关血管通畅。结论手工制作微导丝套索装置处理动脉瘤栓塞过程中移位弹簧圈,是一种简单、有效、经济的方法。
[Abstract]:Objective to explore the method of manual microguide wire lasso device for the treatment of intravascular embolization of intracranial aneurysms by shifting coils. Methods two translocation coils were removed from the intracranial artery using hand-made microguide wire lasso rings. The first coil was completely removed from the aneurysm sac and fluttered to the M2 segment of the middle cerebral artery. The second coil was partially removed into the aneurysm carrying artery. The microguide wire lasso device was used in the embolization of the aneurysm (0. 36 mm(0.014 in) and 0. 43 mm (. 0.017 in) microcatheter. Results after the two translocation coils were taken out of the body, no vascular injury or thrombosis was found in the angiography. There was no ruptured aneurysm and no neurological impairment after anaesthesia. The patients were followed up for 3 months. Conclusion it is a simple, effective and economical method to make manual microguide wire lasso device for the treatment of aneurysm embolization by shifting coils.
【作者单位】：首都医科大学宣武医院神经外科;
【分类号】：R743
【正文快照】： 弹簧圈栓塞颅内动脉瘤的血管内治疗已被证实是安全和有效的[1],并且被越来越广泛地应用。然而在栓塞过程中,有可能发生弹簧圈移位,如弹簧圈由动脉瘤囊内部分或全部脱出,凸入载瘤动脉,甚至顺血流飘逸至载瘤动脉远端的动脉。移位弹簧圈在动脉内阻塞血流或导致栓塞,造成严重的脑

【共引文献】