[1]任红瑞,闫 磊,郭 栋,等.球囊扩张结合支架取栓治疗出血性颅内静脉窦血栓形成9例[J].介入放射学杂志,2018,27(05):396-399.
 REN Hongrui,YAN Lei,GUO Dong,et al.Balloon dilatation and mechanical thrombectomy with Solitaire stent for the treatment of hemorrhagic cerebral venous sinus thrombosis: preliminary results in 9 patients[J].journal interventional radiology,2018,27(05):396-399.
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球囊扩张结合支架取栓治疗出血性颅内静脉窦血栓形成9例()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
27
期数:
2018年05期
页码:
396-399
栏目:
综述
出版日期:
2018-05-25

文章信息/Info

Title:
Balloon dilatation and mechanical thrombectomy with Solitaire stent for the treatment of hemorrhagic cerebral venous sinus thrombosis: preliminary results in 9 patients
作者:
任红瑞 闫 磊 郭 栋 水少锋
Author(s):
REN Hongrui YAN Lei GUO Dong SHUI Shaofeng
Department of Interventional Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 颅内静脉窦血栓形成 颅内出血 球囊扩张 支架取栓
文献标志码:
A
摘要:
【摘要】 目的 探讨球囊扩张结合支架取栓治疗颅内静脉窦血栓形成(CVST)伴脑实质出血的安全性和有效性。方法 2015年1月至2016年12月采用静脉窦内球囊扩张结合Solitaire支架取栓术治疗9例CVST伴脑实质出血患者,术后予皮下注射低分子量肝素180 U(2次/d)3~7 d,口服华法林6~12个月。分析总结治疗结果。结果 9例患者闭塞静脉窦均获再通。其中1例术前昏迷患者意识障碍未缓解,自行出院;8例临床症状均改善,未出现球囊扩张和支架取栓治疗相关并发症,平均随访8个月均无血栓复发。结论 球囊扩张结合支架取栓是治疗CVST患者安全、有效的方法。

参考文献/References:

[1] Bousser MG, Ferro JM. Cerebral venous thrombosis: an update[J]. Lancet Neurol, 2007, 6: 162- 170.
[2] Saposnik G, Barinagarrementeria F, Brown RD Jr, et al. Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2011, 42: 1158- 1192.
[3] de Bruijn SF, de Haan RJ, Stam J. Clinical features and prognostic factors of cerebral venous sinus thrombosis in a prospective series of 59 patients. For the Cerebral Venous Sinus Thrombosis Study Group[J]. J Neurol Neurosurg Psychiatry, 2001, 70: 105- 108.
[4] Wasay M, Bakshi R, Bobustuc G, et al. Cerebral venous thrombosis: analysis of a multicenter cohort from the United States[J]. J Stroke Cerebrovasc Dis, 2008, 17: 49- 54.
[5] Girot M, Ferro JM, Canhao P, et al. Predictors of outcome in patients with cerebral venous thrombosis and intracerebral hemorrhage[J]. Stroke, 2007, 38: 337- 342.
[6] 卢明鸥, 吴 江, 张 昱. 上矢状窦血栓的病理与临床研究[J]. 中华神经科杂志, 2004, 37: 340- 342.
[7] 李宝民, 李 生, 曹向宇, 等. 出血性脑静脉窦血栓的血管内治疗[J]. 中华神经外科杂志, 2005, 21: 709- 712.
[8] 徐 娉. 出血性脑静脉窦血栓13例临床分析[J]. 中国实用医刊, 2011, 38: 19- 20.
[9] Martinelli I, Franchini M, Mannucci PM. How I treat rare venous thromboses[J]. Blood, 2008, 112: 4818- 4823.
[10] Feher G, Illes Z, Hargroves D, et al. Do we have to anticoagulate patients with cerebral venous thrombosis?[J]. Int Angiol, 2015, 35: 369- 373.
[11] Fuentes B, Martinez- Sanchez P, Garcia Raya PG, et al. Cerebral venous sinus thrombosis associated with cerebral hemorrhage is anticoagulant treatment safe?[J]. Neurologist, 2011, 17: 208- 210.
[12] 吉训明, 凌 锋, 贾建平, 等. 多途径联合血管内治疗颅内静脉窦血栓形成[J]. 中华放射学杂志, 2005, 39: 87- 91.
[13] 钟景阳, 杜晓光, 孙建彬. 抗凝与局部溶栓治疗颅内静脉窦血栓形成对比分析[J]. 介入放射学杂志, 2016, 25: 257- 260.
[14] Bousser MG. Cerebral venous thrombosis: nothing, heparin, or local thrombolysis?[J]. Stroke, 1999, 30: 481- 483.
[15] Li G, Zeng X, Hussain M, et al. Safety and validity of mechanical thrombectomy and thrombolysis on severe cerebral venous sinus thrombosis[J]. Neurosurgery, 2013, 72: 730- 738.
[16] 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国颅内静脉系统血栓形成诊断和治疗指南2015[J]. 中华神经科杂志, 2015, 48: 819- 829.
[17] Jahan R. Solitaire flow- restoration device for treatment of acute ischemic stroke: safety and recanalization efficacy study in a swine vessel occlusion model[J]. AJNR Am J Neuroradiol, 2010, 31: 1938- 1943.
[18] Chow K, Gobin YP, Saver J, et al. Endovascular treatment of dural sinus thrombosis with rheolytic thrombectomy and intra- arterial thrombolysis[J]. Stroke, 2000, 31: 1420- 1425.

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备注/Memo

备注/Memo:
(收稿日期:2017-10-30)
(本文编辑:边 佶)
更新日期/Last Update: 2018-05-11