期刊文献+
共找到3,266篇文章
< 1 2 164 >
每页显示 20 50 100
急性缺血性脑卒中颅内血栓病理研究进展 预览
1
作者 宋朝阳 朱良付 +2 位作者 郑春玲 王丽娜 邢莹 《中国临床新医学》 2019年第6期604-607,共4页
急性缺血性脑卒中(AIS)占新发脑卒中总体的69.6%~70.8%。血管内治疗可去除闭塞颅内大血管的血栓和改善患者预后。分析颅内血栓的组成成分、来源、物理特性及其与血管之间的相互作用有助于判定AIS开通策略、临床预后、病因及二级预防。... 急性缺血性脑卒中(AIS)占新发脑卒中总体的69.6%~70.8%。血管内治疗可去除闭塞颅内大血管的血栓和改善患者预后。分析颅内血栓的组成成分、来源、物理特性及其与血管之间的相互作用有助于判定AIS开通策略、临床预后、病因及二级预防。该文综述了近年来发表的有关AIS颅内血栓的研究文献,指出了未来该领域内的部分研究方向。 展开更多
关键词 卒中 缺血 血管内 血栓切除术 血栓 病理
在线阅读 下载PDF
血管内治疗床突旁动脉瘤的方法选择及疗效分析 预览
2
作者 孙际典 曹杨 +4 位作者 王清河 刘震 崔啸天 姜除寒 梁士凯 《临床神经外科杂志》 CAS 2019年第1期49-53,共5页
目的探讨床突旁动脉瘤的特点及评估不同的血管内治疗方案的价值。方法回顾性分析北京地坛医院神经外科及北京清华长庚医院自2014年7月—2018年1月住院行血管内治疗的98例颅内床突旁动脉瘤(共104个动脉瘤)患者的临床资料、影像资料及随... 目的探讨床突旁动脉瘤的特点及评估不同的血管内治疗方案的价值。方法回顾性分析北京地坛医院神经外科及北京清华长庚医院自2014年7月—2018年1月住院行血管内治疗的98例颅内床突旁动脉瘤(共104个动脉瘤)患者的临床资料、影像资料及随访结果。结果本组98例患者(共104个颅内动脉瘤)血管内治疗失败2例(2个动脉瘤),余下96例(102个动脉瘤)血管内治疗成功后即时造影示:90个动脉瘤完全栓塞,4个动脉瘤有瘤颈残余,动脉瘤体残余3个。术中9例患者动脉瘤破裂出血,3例患者有支架内血栓,6例患者有弹簧圈脱逸现象。术后2例患者视物模糊,难治性头痛1例,难治性眼球后疼痛1例。术后临床随访所有患者的Rankin评分为0~5分,2例患者死亡。92例患者(98个动脉瘤)术后获影像学随访,11例动脉瘤复发患者(11个动脉瘤)接受再治疗。结论本研究结果显示对于破裂和未破裂的床突旁动脉瘤,新型血管内栓塞材料存在某些局限性,且安全性及有效性有待进一步证实,传统的血管内治疗方法仍是有效的治疗方案,但是由于高分流率的存在,大部分动脉瘤需要支架辅助技术,术中尽量做到致密栓塞。 展开更多
关键词 床突旁 动脉瘤 血管内治疗 方法选择 疗效
在线阅读 下载PDF
CNB-001 reduces paraplegia in rabbits following spinal cord ischemia 预览
3
作者 Paul A. Lapchak Paul D. Boitano +5 位作者 Rene Bombien Daisy Chou Margot Knight Anja Muehle Mihaela Te Winkel Ali Khoynezhad 《中国神经再生研究:英文版》 SCIE CAS CSCD 2019年第12期2192-2198,共7页
aortic aneurysm repair and thoracic endovascular aortic repair results in devastating clinical deficits in patients. Because spinal cord ischemia is inadequately treated, we studied the effects of [4-((1E)-2-(5-(4-hyd... aortic aneurysm repair and thoracic endovascular aortic repair results in devastating clinical deficits in patients. Because spinal cord ischemia is inadequately treated, we studied the effects of [4-((1E)-2-(5-(4-hydroxy-3-methoxystyryl-)-1-phenyl-1H-pyrazoyl-3-yl) vinyl)-2-methoxy-phenol)](CNB-001), a novel curcumin-based compound, in a rabbit SCI model. CNB-001 is known to inhibit human 5-lipoxygenase and 15-lipoxygenase and reduce the ischemia-induced inflammatory response. Moreover, CNB- 001 can reduce the level of oxidative stress markers and potentiate brain-derived neurotrophic factor and brain-derived neurotrophic factor receptor signaling. The Tarlov scale and quantal analysis technique results revealed that CNB-001 administered as an intravenous dose (bolus) 30 minutes prior to spinal cord ischemia improved the behaviors of female New Zealand White rabbits. The improvements were similar to those produced by the uncompetitive N-methyl-D-aspartate receptor antagonist memantine. At 48 hours after aortic occlusion, there was a 42.7% increase (P < 0.05) in tolerated ischemia duration (n = 14) for rabbits treated with CNB-001 (n = 16), and a 72.3% increase for rabbits treated with the positive control memantine (P < 0.05)(n = 23) compared to vehicle-treated ischemic rabbits (n = 22). CNB-001 is a potential important novel treatment for spinal cord ischemia induced by aortic occlusion. All experiments were approved by the CSMC Institutional Animal Care and Use Committee (IACUC #4311) on November 1, 2012. 展开更多
关键词 curcumin analog SPINAL CORD injury SPINAL CORD ischemia thoraco-abdominal AORTIC ANEURYSM thoracic ENDOVASCULAR AORTIC repair motor function neuroprotection neurorepair
在线阅读 下载PDF
Aspiration therapy for acute embolic occlusion of the superior mesenteric artery 预览
4
作者 Yi-Ren Liu Zhu Tong +6 位作者 Cheng-Bei Hou Shi-Jun Cui Lian-Rui Guo Yi-Xia Qi Li-Xing Qi Jian-Ming Guo Yong-Quan Gu 《世界胃肠病学杂志:英文版》 SCIE CAS 2019年第7期848-858,共11页
BACKGROUND Embolic superior mesenteric artery(SMA)occlusion is associated with high mortality rates.Delayed treatment often leads to serious consequences,including intestinal necrosis,resection,and even patient death.... BACKGROUND Embolic superior mesenteric artery(SMA)occlusion is associated with high mortality rates.Delayed treatment often leads to serious consequences,including intestinal necrosis,resection,and even patient death.Endovascular repair is being introduced,which can improve clinical symptoms and prognosis and decrease the incidence of exploratory laparotomy.Many reports have described successful endovascular revascularization of embolic SMA occlusion.However,most of those reports are case reports,and there are few reports on Chinese patients.In this paper,we describe the technical and clinical outcomes of aspiration therapy using a guiding catheter and long sheath technique which facilitates the endovascular repair procedure.AIM To evaluate the complications,feasibility,effectiveness,and safety of endovascular treatment for the acute embolic occlusion of the SMA.METHODS This retrospective study reviewed eight patients(six males and two females)from August 2013 to October 2018 at Xuanwu Hospital,Capital Medical University.The patients presented with acute embolic occlusion of the SMA on admission and were initially diagnosed by computed tomography angiography(CTA).The patients who underwent endovascular treatment with a guiding catheter had no obvious evidence of bowel infarct.No intestinal necrosis was identified by gastrointestinal surgeons through peritoneal puncture or CTA.The complications,feasibility,effectiveness,safety,and mortality were assessed.RESULTS Six(75%)patients were male,and the mean patient age was 70.00±8.43 years(range,60-84 years).The acute embolic occlusion of the SMA was initially diagnosed by CTA.All patients had undertaken anticoagulation primarily,and percutaneous aspiration using a guiding catheter was then undertaken because the emboli had large amounts of thrombus residue.No death occurred among the patients.Complete patency of the suffering artery trunk was achieved in six patients,and defect filling was accomplished in two patients.The in-hospital mortality was 0%.The overall 12-mo 展开更多
关键词 Superior MESENTERIC artery ACUTE EMBOLIC OCCLUSION Aspiration EMBOLECTOMY Transcatheter THROMBOLYSIS Endovascular repair
在线阅读 免费下载
Central retinal artery occlusion after endovascular coil embolization for internal carotid artery aneurysm
5
作者 Ying-Li Wang Yan-Nian Hui +3 位作者 Ran Chen Yang-Yang Jin Jun Tao Yu-Mei Zhou 《国际眼科杂志:英文版》 SCIE CAS 2019年第3期520-522,共3页
Dear Editor,We are writing this letter to report an unexpected rare caseofcentralretinalarteryocclusion(CRAO)happened after stent-assisted coiling for internal carotid artery(ICA)aneurysm in a female patient.CRAO is a... Dear Editor,We are writing this letter to report an unexpected rare caseofcentralretinalarteryocclusion(CRAO)happened after stent-assisted coiling for internal carotid artery(ICA)aneurysm in a female patient.CRAO is a devastating ocular emergency with poor visual prognosis and no universal acceptedtreatmentatpresent.CRAOisusuallyassociated witharterialhypertension,diabetesmellitus,renaldisease. 展开更多
关键词 Figure Central retinal ARTERY occlusion AFTER ENDOVASCULAR coil EMBOLIZATION for internal CAROTID ARTERY ANEURYSM ICA FFA
The relationship between CDK13 and TBAD patients undergoing TEVAR
6
作者 刘慧玲 关锦珍 +5 位作者 冯宇亮 黄薇 蔡留阳 蒋磊 罗建方 房惠敏 《岭南心血管病杂志:英文版》 CAS 2019年第2期121-124,130共5页
Background Type B aortic dissections(TBAD)are catastrophic conditions with high complication and mortality rates.This study aimed to investigate the prognostic significance of CDK13 expression in patients with type B ... Background Type B aortic dissections(TBAD)are catastrophic conditions with high complication and mortality rates.This study aimed to investigate the prognostic significance of CDK13 expression in patients with type B aortic dissection(TBAD)undergoing thoracic endovascular aortic repair(TEVAR).Methods Totally 56 patients with TBAD undertaken TEVAR were included in this study,CDK13 expression was detected in blood samples which were collected from vein before angiography.We reviewed hospital readmission records and outpatient clinic interviews for possible events.The primary endpoint was long-term all-cause mortality.The secondary endpoints were in-hospital major adverse clinical events(MACEs).Results A total of 56 patients(mean age 61.2±12.4 years)were included in the study.We divided the patients into 2 risk levels(28 patients for each level)according to the median of CDK13 expression.The in-hospital mortality(3.6%vs.14.2%,P<0.05)and MACEs(10.7%vs.39.3%,P<0.05)were significant higher in patients with high CDK13 level(≥median).Conclusions The expression level of CDK13 could be considered as a relatively simple tool for pre-TEVAR risk stratification. 展开更多
关键词 CDK13 type B AORTIC dissections THORACIC ENDOVASCULAR AORTIC REPAIR
经皮球囊扩张术治疗血透通路狭窄的技术成功率与一期通畅率的相关性研究 预览
7
作者 朱峥嵘 邹岚 +6 位作者 邢越 谭羽灿 徐国建 何志坚 曹健强 吴嘉瑜 罗灿华 《中国血管外科杂志(电子版)》 2018年第3期196-200,共5页
目的探讨经皮球囊扩张(PTA)治疗前臂Brescia-Cimino内瘘(B-CAVF)狭窄的技术成功(TS)率与一期通畅率的相关性,同时分析影响TS的相关因素。方法回顾性分析2013年11月至2018年3月本中心经PTA治疗的B-CAVF狭窄病例,对比分析技术不成功(TF)组... 目的探讨经皮球囊扩张(PTA)治疗前臂Brescia-Cimino内瘘(B-CAVF)狭窄的技术成功(TS)率与一期通畅率的相关性,同时分析影响TS的相关因素。方法回顾性分析2013年11月至2018年3月本中心经PTA治疗的B-CAVF狭窄病例,对比分析技术不成功(TF)组和TS组的一期通畅率,探讨影响TS的相关因素。结果共74例患者纳入研究,整体一期通畅时间为(7.79±0.48)个月,TS组(41例)一期通畅时间为(9.77±0.61)个月,优于TF组(33例)的一期通畅时间(5.42±0.53)月(P<0.01)。TF组使用普通球囊比例更高(54.5%),而TS组使用高压球囊比例更高(68.3%)(P=0.048),TF组比TS组需要多次扩张(>2次)的比例更高(90.9%VS24.4%)(P=0.001)。结论PTA治疗B-CAVF狭窄中,TS可以延长一期通畅时间,提高通畅率,使用高压球囊可以增加TS率,从而减少球囊的多次扩张。 展开更多
关键词 动静脉内瘘 狭窄 腔内 球囊扩张 技术成功 残余狭窄
在线阅读 下载PDF
Total endovascular repair of aberrant right subclavian artery using caster branched stent-graft 预览
8
作者 Guo-Yi SUN Wei GUO +8 位作者 Xiao-Ping LIU Xin JIA Jiang XIONG Hong-Peng ZHANG Xiao-Hui MA Feng CHEN Sen-Hao JIA Jie LIU Yang-Yang GE 《老年心脏病学杂志:英文版》 SCIE CAS CSCD 2018年第12期751-754,共4页
A 57-year-old man has 20-year history of hypertension presented with intermittent chronic pain in the chest area and shoulder blades over the last three months.Computed tomographic angiography(CTA)on admission reveale... A 57-year-old man has 20-year history of hypertension presented with intermittent chronic pain in the chest area and shoulder blades over the last three months.Computed tomographic angiography(CTA)on admission revealed a chronic type B aortic dissection(TBAD)with an aberrant right subclavian artery(ARSA)crossed behind the trachea and bovine aortic arch(Figure IB). 展开更多
关键词 ABERRANT right SUBCLAVIAN artery AORTIC dissection Branch STENT-GRAFT Thoracic ENDOVASCULAR AORTIC repair
在线阅读 下载PDF
开窗支架治疗腹主动脉瘤单中心经验 预览 被引量:1
9
作者 高斌 魏小龙 +2 位作者 孙羽东 朱江 赵志青 《中国血管外科杂志(电子版)》 2018年第2期92-96,共5页
目的 评估开窗支架治疗近肾腹主动脉瘤及Crawford-SafiⅣ型胸腹主动脉瘤的疗效。方法 回顾性分析2010年6月至2014年10月长海医院收治的16例应用开窗支架行腔内血管修复术治疗的近肾腹主动脉瘤及Crawford-SafiⅣ型胸腹主动脉瘤患者,分析... 目的 评估开窗支架治疗近肾腹主动脉瘤及Crawford-SafiⅣ型胸腹主动脉瘤的疗效。方法 回顾性分析2010年6月至2014年10月长海医院收治的16例应用开窗支架行腔内血管修复术治疗的近肾腹主动脉瘤及Crawford-SafiⅣ型胸腹主动脉瘤患者,分析脉瘤形态、死亡率及短期随访结果。结果 16例患者均成功置入开窗支架,术后30天死亡率为0,其中2例患者并发Ⅰ型内漏(12.5%),开窗血管的初始通畅率为91.6%(22/24)。术后随访12-36(平均31)个月,随访期间3例患者死亡,无动脉瘤破裂,其中1例患者血清肌酸酐升高超过30%并最终死于肾衰竭,另外2例患者分别死于胰腺癌和肺癌。1例患者CT血管造影提示瘤体增大超过20%。结论 短期随访发现应用开窗支架治疗近肾腹主动脉瘤和Crawford-SafiⅣ型胸腹主动脉瘤是安全有效的,肾功能恶化及内漏为短期主要不良事件。 展开更多
关键词 开窗支架 胸腹动脉瘤 近肾腹主动脉瘤 血管腔内治疗
在线阅读 下载PDF
Enterprise stent for symptomatic complex intracranial atherosclerotic stenosis: safety and efficiency
10
作者 Yanhua Dong Chao Liu +3 位作者 Dongdong Li Zhen Chen Xiaozhen Sun Sheng Guan 《介入医学杂志》 2018年第4期234-239,共6页
Purpose: To evaluate the safety and efficacy of Enterprise stent in the treatment of symptomatic complex intracranial atherosclerotic stenosis. Methods and materials: 20 complex cases among 53 patients with symptomati... Purpose: To evaluate the safety and efficacy of Enterprise stent in the treatment of symptomatic complex intracranial atherosclerotic stenosis. Methods and materials: 20 complex cases among 53 patients with symptomatic ischemic stroke who were treated with balloon angioplasty and enterprise stents in Department of Neuro-interventional Radiology, The First Affiliated Hospital of Zhengzhou University from Jan. 2014 to Dec. 2017 were retrospectively enrolled in this study. Diagnostic criteria for complex intracranial atherosclerotic stenosis were as follows: 1) intracranial atherosclerotic stenosis was ≥70% confirmed by digital subtraction angiography(DSA) using the formulas described by the Warfarin Aspirin Symptomatic Intracranial Disease(WASID) method;2) length of lesion was >10 mm. Basic characteristics of target lesions, technical success rate, perioperative safety, follow-up outcomes were investigated. Results: 20 patients were enrolled in this study, including 15 males and 5 females from 44 to 70 years old with an average age of 57.20 ± 9.25. 20 lesions were treated with 20 enterprise stents. The average preoperative and postoperative residual stenosis was reduced from(77.45 ± 8.44)% to(24.89 ± 16.61)%. The successful rate of operation was 100%. Among the perioperative complications, only 1 case(5%) experienced perforating branch event. The average clinical follow-up period was 13.15 ± 11.33 months(time range: 5–38). There were no ischemic events, no bleeding events and no various causes of death during the follow-up period. 8 lesions(40.0%) underwent DSA follow-up examinations and 12 lesions(60.0%) were checked by CT angiography during the follow-up period. 3 lesions(15.0%) developed ISR without any cerebral ischemia symptoms. Conclusion: This retrospective, single-center study suggests that enterprise stent is effective in the treatment of symptomatic complex intracranial atherosclerotic stenosis with less perioperative complications. Prospective, multicenter, randomized controlled trials are expect 展开更多
关键词 ENTERPRISE STENT INTRACRANIAL ATHEROSCLEROTIC stenosis ENDOVASCULAR treatment
后释放支架在主动脉夹层腔内治疗中的临床应用 预览
11
作者 杜虹 谷小卫 姚伟 《中国疗养医学》 2018年第8期835-837,共3页
目的评价采用后释放覆膜支架腔内治疗主动脉夹层的临床效果。方法回顾分析某院心血管外科2011-10-01—2017-02-28采用后释放覆膜支架行主动脉腔内隔绝术治疗的主动脉夹层患者的临床资料,总结临床经验,评价治疗效果。结果 43例患者均一... 目的评价采用后释放覆膜支架腔内治疗主动脉夹层的临床效果。方法回顾分析某院心血管外科2011-10-01—2017-02-28采用后释放覆膜支架行主动脉腔内隔绝术治疗的主动脉夹层患者的临床资料,总结临床经验,评价治疗效果。结果 43例患者均一次性成功植入后释放覆膜支架,成功封堵破口,全组无围手术期死亡病例。1例患者术后出现脊髓损伤。所有患者随访未出现移覆膜支架移位、迟发内漏。结论采用后释放支架治疗解剖类型适宜的主动脉夹层降低了手术操作的难度,提高了支架释放的精确度,提高了手术治疗效果,有助于腔内隔绝技术的推广,使患者能够及时有效得到治疗。 展开更多
关键词 主动脉夹层 腔内 覆膜支架 后释放
在线阅读 下载PDF
3D打印辅助覆膜支架修复术在复杂主动脉疾病腔内治疗中的应用 预览 被引量:2
12
作者 杨晗 胡明 +3 位作者 黄群 覃忠 郭思恩 覃晓 《中国血管外科杂志(电子版)》 2018年第1期4-9,共6页
目的探讨3D打印辅助技术对复杂主动脉疾病腔内治疗方案制定和效果的影响。方法回顾性分析广西医科大学第一附属医院血管外科2016年4月至2017年4月收治的6例复杂主动脉疾病患者。术前行CT血管造影(CTA)后进行主动脉三维重建,在3D打印... 目的探讨3D打印辅助技术对复杂主动脉疾病腔内治疗方案制定和效果的影响。方法回顾性分析广西医科大学第一附属医院血管外科2016年4月至2017年4月收治的6例复杂主动脉疾病患者。术前行CT血管造影(CTA)后进行主动脉三维重建,在3D打印机进行3D打印成形主动脉形态。结合CTA结果和3D打印模型采用相应的手术方式。结果患者包括胸主动脉瘤1例,腹主动脉假性动脉瘤1例,主动脉夹层3例,腹主动脉瘤1例,均在术前完成主动脉病变段3D模型打印,根据结果辅助制定手术方案,手术全部取得技术成功。结论3D打印辅助覆膜支架修复术能使复杂主动脉疾病腔内治疗直观化、简单化、精准化,具有广阔的前景。 展开更多
关键词 腔内治疗 主动脉夹层 主动脉瘤 主动脉瘤 3D打印技术
在线阅读 下载PDF
Percutaneous Implantation of Mitraclip Device: First Case Report in the West of Parana 预览
13
作者 Cassiana Tomazoni, Evandro L. Q. Flores Laura G. Flores +2 位作者 Leandro S. I. Ueda Micheli G. Signor Patricia F.Ferreira and Vanessa C. Trentim 《药剂与药理学:英文版》 2018年第5期515-520,共6页
关键词 设备 西方 培植 案例 标准答案 机能障碍 外科 帽形
在线阅读 下载PDF
Endovascular treatment of blood blister-like aneurysms in the internal carotid artery using a Willis covered stent
14
作者 Yi Gu Binxian Gu +7 位作者 Yongdong Li Yueqi Zhu Haitao Lu Liming Wei Mo Chen Minhua Li Jieqing Wan Wu Wang 《介入医学杂志》 2018年第3期157-163,共7页
Background Despite the current availability of flow diverter devices(FDD), problems remains regarding optimal endovascular treatment(EVT) for blood blister-like aneurysms(BBAs) of the internal carotid artery(ICA). Obj... Background Despite the current availability of flow diverter devices(FDD), problems remains regarding optimal endovascular treatment(EVT) for blood blister-like aneurysms(BBAs) of the internal carotid artery(ICA). Objective To evaluate the safety and efficacy of EVT of BBAs in the ICA with a Willis covered stent. Methods 20 consecutive patients(5 men and 15 women) with ruptured BBAs underwent EVT using a Willis covered stent in two institutions from March 2013 to March 2018. Clinical observations, angiographic characteristics, and procedural and follow-up outcomes were retrospectively evaluated. Results 20 consecutive patients(5 men and 15 women) with ruptured BBAs underwent EVT using a Willis covered stent in two institutions from March 2013 to March 2018. Clinical observations, angiographic characteristics, and procedural and follow-up outcomes were retrospectively evaluated. Conclusion Our initial results demonstrate that reconstructive EVT using a Willis covered stent provides a viable approach to treat ICA BBAs. However, an expanded clinical evaluation and larger cohort are needed to confirm the results. 展开更多
关键词 BLOOD blister-like aneurysm ENDOVASCULAR treatment WILLIS covered stent
Current Controversies and the State of the Art in Endovascular Treatment of Vascular Malformations
15
作者 Wayne Yakes Alexis Yakes +1 位作者 Fiona Rohlffs Krasnodar Ivancev 《介入医学杂志》 2018年第2期65-69,共5页
Vascular anomalies constitute some of the most difficult diagnostic and therapeutic enigmas that can be encountered in the practice of medicine. The clinical presentations are extremely protean and can range from an a... Vascular anomalies constitute some of the most difficult diagnostic and therapeutic enigmas that can be encountered in the practice of medicine. The clinical presentations are extremely protean and can range from an asymptomatic birthmark to fulminant。 展开更多
关键词 CURRENT CONTROVERSIES and the State of the Art in ENDOVASCULAR Treatment of VASCULAR MALFORMATIONS AVM
支架辅助弹簧圈栓塞颅内破裂动脉瘤并发症 预览 被引量:1
16
作者 傅西安 钱苏荣 +4 位作者 王剑刃 林荔青 桑春生 潘耀华 蒲军 《昆明医科大学学报》 CAS 2018年第1期50-54,共5页
目的回顾性分析支架辅助弹簧圈栓塞颅内复杂动脉瘤的并发症发生率,探讨并发症发生的原因及治疗方法.方法蛛网膜下腔出血患者行支架辅助弹簧圈栓塞动脉瘤62例,单发动脉瘤53例,多发动脉瘤9例(2个动脉瘤8例,3个动脉瘤1例),共计72个动脉瘤,... 目的回顾性分析支架辅助弹簧圈栓塞颅内复杂动脉瘤的并发症发生率,探讨并发症发生的原因及治疗方法.方法蛛网膜下腔出血患者行支架辅助弹簧圈栓塞动脉瘤62例,单发动脉瘤53例,多发动脉瘤9例(2个动脉瘤8例,3个动脉瘤1例),共计72个动脉瘤,除1例外,均行支架辅助动脉瘤栓塞治疗.结果完全填塞53个(74.64%),近全填塞17个(23.94%),部分填塞1个(1.42%).根据GOS预后评分,GOS5分52例,GOS 4分6例,GOS 3分3例,GOS 2分1例.预后良好的患者(GOS 4~5分)58例(93.5%).并发症发生率为14.5%,其中急性血栓形成3例;栓塞过程中动脉瘤破裂2例;术中脑血管痉挛3例;术中造影未见明显异常,术后有局灶性缺血性改变并伴轻度神经功能缺失1例.结论支架辅助弹簧圈栓塞治疗颅内破裂动脉瘤是安全有效、切实可行的,但应当在临床操作中提高临床技能、总结分析临床处理经验来降低并发症的发生,并发症发生后的及时、正确处理亦相当重要. 展开更多
关键词 蛛网膜下腔出血 动脉瘤 血管内治疗
在线阅读 下载PDF
腔内治疗钝性主动脉损伤的中期随访及主动脉重构
17
作者 张婉 符伟国 +4 位作者 陈斌 徐欣 郭大乔 史振宇 庄舜玖 《中国胸心血管外科临床杂志》 CAS CSCD 2018年第4期278-283,共6页
目的 总结腔内治疗钝性主动脉损伤(blunt aortic injury,BAI)的中期随访结果。方法 回顾性分析复旦大学附属中山医院血管外科2003年9月至2015年12月期间经腔内修复术(TEVAR)治疗24例BAI患者的临床资料,男15例、女9例,平均年龄(45.6... 目的 总结腔内治疗钝性主动脉损伤(blunt aortic injury,BAI)的中期随访结果。方法 回顾性分析复旦大学附属中山医院血管外科2003年9月至2015年12月期间经腔内修复术(TEVAR)治疗24例BAI患者的临床资料,男15例、女9例,平均年龄(45.6±14.0)岁。外伤类型主要为车祸。胸主动脉破口共25个,多数位于主动脉峡部。随访至少1年。结果 24例均生存,并行腔内治疗。1例BAI术后1周死于肺梗。技术成功率100.0%,临床成功率95.8%,围手术期死亡率为4.2%。共随访19例患者,随访时间35.1(13~87)个月,随访患者均正常生存。18例患者CTA示无内漏及支架移位等并发症,另1例夹层患者远端腹主动脉假腔仍存在。随访期间各节段主动脉直径改变均未超过5 mm。主动脉重构良好率为94.7%。结论 TEVAR治疗BAI有效可行,技术成功率及临床成功率高,中期随访结果良好,远期结果仍待密切随访。 展开更多
关键词 钝性 主动脉损伤 假性动脉瘤 夹层 腔内
Vein of Galen malformation in a neonate:A case report and review of endovascular management 预览
18
作者 Surasak Puvabanditsin Rajeev Mehta +6 位作者 Kristy Palomares Natalie Gengel Christina Ferrucci-Da Silva Sudipta Roychowdhury Gaurav Gupta Arun Kashyap David Sorrentino 《世界临床儿科杂志》 2017年第1期103-109,共7页
Vein of Galen malformation(VOGM)is a rare congenital vascular malformation caused by the maldevelopment of its embryonic precursor,the median prosencephalic vein of Markowski.VOGM results in neonatal morbidity and mor... Vein of Galen malformation(VOGM)is a rare congenital vascular malformation caused by the maldevelopment of its embryonic precursor,the median prosencephalic vein of Markowski.VOGM results in neonatal morbidity and mortality,and premature delivery does not improve the outcome.We report a term female neonate in whom a vein of Galen malformation was diagnosed prenatally at 37 wk of gestation during a growth ultrasound and confirmed by fetal magnetic resonance imaging.Signs of cardiac decompensation were evident in the fetus.Multiple interventional radiology embolizations of the feeding vessels were performed successfully on days 7,10,12,14 and 19.A review of the literature on the endovascular management of neonates with these malformations is presented herein. 展开更多
关键词 VEIN of GALEN MALFORMATION ENDOVASCULAR therapy CONGENITAL anomaly NEONATE
在线阅读 免费下载
颅内破裂微小动脉瘤介入栓塞术临床疗效和安全性研究 预览 被引量:1
19
作者 吴志林 张锦钊 +2 位作者 胡世峰 吴鉴洲 黄金培 《中国卒中杂志》 2017年第7期588-591,共4页
目的探讨介入栓塞颅内破裂微小动脉瘤的技术要点,评价其临床疗效和安全性。方法回顾性分析2014年4月-2016年10月云浮市人民医院因微小颅内动脉瘤破裂致蛛网膜下腔出血而行介入栓塞治疗患者的临床资料,评价栓塞治疗的临床疗效、手术并发... 目的探讨介入栓塞颅内破裂微小动脉瘤的技术要点,评价其临床疗效和安全性。方法回顾性分析2014年4月-2016年10月云浮市人民医院因微小颅内动脉瘤破裂致蛛网膜下腔出血而行介入栓塞治疗患者的临床资料,评价栓塞治疗的临床疗效、手术并发症及患者预后情况。结果研究共纳入23例微小颅内动脉瘤破裂患者,均在全身麻醉下采用弹簧圈栓塞治疗,其中17例采用单纯弹簧圈栓塞,6例采用支架辅助治疗。致密栓塞19例(82.61%),4例(17.39%)瘤颈残余。所有患者载瘤动脉均通畅,术中无动脉瘤破裂出血,1例(4.35%)术中发生载瘤动脉狭窄闭塞,置入支架后载瘤动脉恢复通畅。术后6~30个月DSA随访均无再出血。1例(4.35%)瘤颈残余患者1年后出现瘤颈部动脉瘤复发,给予支架辅助栓塞治疗。23例患者术后6个月时改良Rankin量表(modified Rankin Scale,mRS)评分0分共21例,2分有2例。结论介入栓塞技术治疗颅内破裂微小动脉瘤是一种安全、有效的治疗手段,术后治疗效果良好。 展开更多
关键词 动脉瘤 破裂 蛛网膜下腔出血 介入 栓塞
在线阅读 免费下载
腹主动脉瘤腔内修复术后继发型内漏的诊治 预览 被引量:1
20
作者 于费杰 竺挺 符伟国 《全科医学临床与教育》 2017年第2期198-200,共3页
与传统开放手术相比,通过使用腔内支架型移植物(endovascular stent graft,EVSG)将循环血流隔绝来治疗腹主动脉瘤(abdominal aortic aneurysm,AAA)因微创、安全的优势而迅速推广,但腔内修复术(endovascular aneurysm repair,EVAR... 与传统开放手术相比,通过使用腔内支架型移植物(endovascular stent graft,EVSG)将循环血流隔绝来治疗腹主动脉瘤(abdominal aortic aneurysm,AAA)因微创、安全的优势而迅速推广,但腔内修复术(endovascular aneurysm repair,EVAR)的一些并发症也不断出现,术后移植物外层的动脉瘤囊内仍有循环血流进出, 展开更多
关键词 内漏 继发型 ENDOVASCULAR 移植物 腔内修复术 ANEURYSM 传统开放手术 动脉瘤囊 腹主动脉瘤 stent
在线阅读 下载PDF
上一页 1 2 164 下一页 到第
使用帮助 返回顶部 意见反馈