首页> 美国卫生研究院文献>Interventional Neuroradiology >Jailed double-microcatheter technique following horizontal stenting for coil embolization of intracranial wide-necked bifurcation aneurysms: A technical report of two cases
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Jailed double-microcatheter technique following horizontal stenting for coil embolization of intracranial wide-necked bifurcation aneurysms: A technical report of two cases

机译:卧式支架置入后双入微导管技术治疗颅内宽颈分叉动脉瘤的线圈栓塞术(附2例技术报告)

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摘要

The horizontal stenting technique facilitates endovascular treatment of wide-necked bifurcation intracranial aneurysms. Previous literature shows, however, that subsequent coil embolization at initial treatment results in incomplete obliteration in many cases. The authors present two consecutive cases of wide-necked large bifurcation aneurysms to describe an additional coil embolization technique following horizontal stenting. The patients were a 53-year-old female with an unruptured internal carotid artery terminus aneurysm and a 57-year-old female with a recurrent basilar artery tip aneurysm. Both patients underwent endovascular treatment with horizontal stenting followed by coil embolization with jailed double-microcatheters. Immediate complete obliteration was achieved with no complications, and no recanalization was observed at the one-year follow-up in both cases. Coil embolization with jailed double-microcatheter technique following horizontal stenting is a safe and effective strategy for wide-necked bifurcation aneurysms.
机译:水平支架技术促进了宽颈分叉颅内动脉瘤的血管内治疗。然而,先前的文献表明,在许多情况下,初始治疗中随后的线圈栓塞会导致闭塞不彻底。作者介绍了连续两例宽颈大分叉动脉瘤,以描述水平支架置入后的另一种线圈栓塞技术。患者是一名53岁的女性,颈内动脉末端动脉瘤未破裂,一名57岁的女性,复发性基底动脉尖端动脉瘤。两名患者均接受了水平支架置入的血管内治疗,随后使用被监禁的双微导管进行线圈栓塞。立即完成完全闭塞,无并发症,并且在两种情况下的一年随访中均未观察到再通。卧式支架置入术后采用监禁双微导管技术进行线圈栓塞术是治疗宽颈分叉动脉瘤的一种安全有效的策略。

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