[1]白京岳,孟庆斌,王子博,等.颈内动脉-后交通动脉瘤常规支架辅助弹簧圈栓塞治疗临床结果及复发因素分析[J].介入放射学杂志,2021,30(11):1095-1099.
 BAI Jingyue,MENG Qingbin,WANG Zibo,et al.Conventional stent-assisted coil embolization for internal carotid artery-posterior communicating artery aneurysms: analysis of clinical results and recurrence factors[J].journal interventional radiology,2021,30(11):1095-1099.
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颈内动脉-后交通动脉瘤常规支架辅助弹簧圈栓塞治疗临床结果及复发因素分析()

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

卷:
30
期数:
2021年11
页码:
1095-1099
栏目:
神经介入
出版日期:
2021-11-25

文章信息/Info

Title:
Conventional stent-assisted coil embolization for internal carotid artery-posterior communicating artery aneurysms: analysis of clinical results and recurrence factors
作者:
白京岳 孟庆斌 王子博 管 生
Author(s):
BAI Jingyue MENG Qingbin WANG Zibo GUAN Sheng
Department of Neurointervention, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 支架辅助弹簧圈栓塞 颈内动脉-后交通动脉动脉瘤 复发 危险因素
文献标志码:
A
摘要:
【摘要】 目的 分析常规支架辅助弹簧圈栓塞治疗颈内动脉(ICA)-后交通动脉(PComA)动脉瘤的效果及复发的危险因素。 方法 收集2013年1月至2019年12月在郑州大学第一附属医院接受常规支架辅助弹簧圈栓塞术治疗的ICA-PComA动脉瘤患者临床资料。采用单因素和多因素logistics回归分析确定常规支架辅助弹簧圈栓塞术后动脉瘤复发的危险因素。结果 共入组患者199例(224枚动脉瘤),平均年龄为57岁,女性168例(84.4%)。平均随访时间12个月,20例患者20枚(8.9%)动脉瘤复发。单因素分析结果显示,术后动脉瘤复发和未复发患者伴高血压、动脉瘤位于大弯侧、破裂动脉瘤、动脉瘤直径、瘤颈宽、瘤颈口有优势PComA、流入道未致密栓塞、第1枚弹簧圈成篮即刻造影差异均有统计学意义(均P<0.05)。多因素logistics回归分析显示,伴高血压、动脉瘤破裂、动脉瘤直径≥5 mm、瘤颈口有优势PComA、流入道未致密填塞、第1枚弹簧圈成篮未覆盖瘤颈口是术后动脉瘤复发的危险因素。 结论 伴高血压、动脉瘤破裂、动脉瘤直径≥5 mm、瘤颈口有优势PComA、流入道未致密填塞、第1枚弹簧圈成篮未覆盖瘤颈口的ICA-PComA动脉瘤患者,常规支架辅助弹簧圈栓塞术后复发风险较高。

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备注/Memo

备注/Memo:
(收稿日期:2020- 10- 18)
(本文编辑:边 佶)
更新日期/Last Update: 2021-11-22