Treatment of Complex Intracranial Aneurysms with Neuroform Stent Implantation and Coil Placement_West China Medical Journal

Authors：

1.Department of Radiology;2.Department of Neurosurgery，West China Hospital，Sichuan University，Chengdu 610041，China;

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Keywords：

颅内动脉瘤; 弹簧圈; 支架; 介入

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目的：探讨血管内Neuroform支架置入联合弹簧圈栓塞治疗颅内复杂动脉瘤的疗效、技术要点、安全性及并发症防治。方法:　研究对象为20例颅内复杂动脉瘤患者，其中颈内动脉海绵窦段4例，眼动脉段3例，后交通动脉段7例，脉络膜前动脉起始部1例，大脑中动脉M1段1例，椎动脉颅内段4例。首先将微导管置入瘤腔，然后跨瘤颈释放支架，栓塞弹簧圈。结果:　所有病例栓塞操作均顺利完成。其中致密栓塞13例，大部分栓塞7例;术后脑梗塞1例，1个月后恢复;2例弹簧圈尾端疝入载瘤动脉，均未引起相应的临床症状。随访3～24个月，平均13个月，无再出血及血栓栓塞症状。结论:　血管内支架植入联合弹簧圈治疗颅内复杂动脉瘤安全有效。

Citation： CHENG Meixiong,XIE Xiaodong,WANG Chaohua,et al.. Treatment of Complex Intracranial Aneurysms with Neuroform Stent Implantation and Coil Placement. West China Medical Journal, 2009, 24(1): 148-150. doi: Copy

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3.	Fiorella D，Albuquerque FC，Han P，et al.Preliminary experience using the Neuroform stent for the treatment of cerebral aneurysms [J].Neurosurgery，2004，54:6-17..
4.	Benitez RP，Silva MT，Klem J，et al.Endovascular occlusion of widenecked aneurysms with a new intracranial microstent (Neuroform) and detachable coils [ J ].Neurosurgery，2004，54:1359-1368..
5.	Cantón G，Levy DI，Lasheras JC.Hemodynamic changes due to stent placement in bifurcating intracranial aneurysms [J].J Neurosurg，2005，103:146-155..
6.	Hoit DA，Malek AM.Threedimensional rotational angiographic detection of instent stenosis in widenecked aneurysms treated with a selfexpanding intracranial stent [J].Neurosurgery，2005，57:1228-1236..
7.	Fiorella D，Albuquerque FC，Deshmukh VR，et al.Instent stenosis as a delayed complication of Neuroform stentsupported coil embolization of an incidental carotid terminus aneurysm [J].AJNR Am J Neuroradiol，2004，25:1764-1767..
8.	吴中学，王忠诚，刘爱华，等.106例颅内复杂动脉瘤的支架应用 [J].中华神经外科杂志，2005，21(2):71-74..

1. Lubicz B，Leclerc X，Gauvrit JY，et al.HyperForm remodelingballoon for endovascular treatment of wideneck intracranial aneurysms [J].AJNR Am J Neuroradiol，2004，25:13811383..
2. Biondi A，Janardhan V，Katz JM，et al.Neuoform stentassisted coil embolization of wideneck intracranial aneurysms:strategies in stent deployment and midterm followup[J].Neurosurgery，2007，61(3):460-469..
3. Fiorella D，Albuquerque FC，Han P，et al.Preliminary experience using the Neuroform stent for the treatment of cerebral aneurysms [J].Neurosurgery，2004，54:6-17..
4. Benitez RP，Silva MT，Klem J，et al.Endovascular occlusion of widenecked aneurysms with a new intracranial microstent (Neuroform) and detachable coils [ J ].Neurosurgery，2004，54:1359-1368..
5. Cantón G，Levy DI，Lasheras JC.Hemodynamic changes due to stent placement in bifurcating intracranial aneurysms [J].J Neurosurg，2005，103:146-155..
6. Hoit DA，Malek AM.Threedimensional rotational angiographic detection of instent stenosis in widenecked aneurysms treated with a selfexpanding intracranial stent [J].Neurosurgery，2005，57:1228-1236..
7. Fiorella D，Albuquerque FC，Deshmukh VR，et al.Instent stenosis as a delayed complication of Neuroform stentsupported coil embolization of an incidental carotid terminus aneurysm [J].AJNR Am J Neuroradiol，2004，25:1764-1767..
8. 吴中学，王忠诚，刘爱华，等.106例颅内复杂动脉瘤的支架应用 [J].中华神经外科杂志，2005，21(2):71-74..

West China Medical Journal

Treatment of Complex Intracranial Aneurysms with Neuroform Stent Implantation and Coil Placement

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