3D打印辅助微导管塑形在颅内动脉瘤栓塞术中应用

发布时间：2018-08-28 15:50

【摘要】：目的探讨3D打印辅助微导管精准塑形技术在颅内动脉瘤栓塞术中应用的可行性。方法 2015年11月至2016年4月采用介入栓塞术治疗13例颅内动脉瘤患者,术中均以3D打印技术辅助微导管精准塑形,并结合微导管到位情况及动脉瘤栓塞过程中微导管稳定性判断塑形效果。结果13例颅内动脉瘤患者介入栓塞治疗中微导管均精确到位,导管头端稳定,动脉瘤栓塞致密。10例术中未发生动脉瘤破裂等并发症,术后恢复良好。1例Hunt-Hess分级Ⅴ级患者术后死亡;1例术中动脉瘤破裂,考虑可能为麻醉诱导过程中破裂;1例术前再破裂出血。结论 3D打印辅助精准塑形微导管,可在颅内动脉瘤栓塞术中顺利到位且保持稳定,有利于手术顺利进行,减少微导管操作相关并发症发生。
[Abstract]:Objective to investigate the feasibility of 3 D print-assisted microcatheter precise shaping technique in intracranial aneurysm embolization. Methods from November 2015 to April 2016, 13 patients with intracranial aneurysms were treated with interventional embolization. According to the situation of microcatheter in place and the stability of microcatheter in the course of aneurysm embolization, the plastic effect was evaluated. Results in 13 patients with intracranial aneurysms, the microcatheterization was accurate, the catheter head was stable, the embolization of intracranial aneurysms was dense. There were no complications such as aneurysm rupture during embolization. One case of aneurysm ruptured during operation was found to have recovered well after operation in 1 case of Hunt-Hess grade V grade, and 1 case was considered to be rupture during anesthesia induction and 1 case had rerupted bleeding before operation. Conclusion 3D print assisted precise plastic microcatheter can be used in the embolization of intracranial aneurysms, which is beneficial to the successful operation and the reduction of complications associated with microcatheter operation.
【作者单位】：滨州医学院附属医院神经外科(山东省滨州市人民医院);哈尔滨医科大学附属第一医院神经外科;
【基金】：国家自然科学基金(81171119)
【分类号】：R743

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