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目的探讨Solitaire支架在处理颅内动脉瘤介入栓塞术中急性血栓事件的有效性及安全性。方法分析2009年7月至2015年1月8例行颅内动脉瘤介入栓塞术中发生急性血管闭塞患者,其中6例患者使用Soliraire支架行机械取栓,2例患者行Soliraire支架重建血管血流再通,并完成颅内动脉瘤致密栓塞。分析即时血管再通效果,术后出血情况及缺血情况。结果 8例患者均安全、有效地完成闭塞血管血流再通,6例患者机械取栓成功,2例患者多次取栓均未成功,考虑闭塞血管为斑块堵塞可能,予以支架覆盖斑块重建血管使血流再通;8例患者术后均未出现颅内出血及缺血征象,未见明显神经功能缺失。结论颅内动脉瘤血管内治疗术中急性栓塞事件发生时,Solitaire支架可通过机械取栓及支架重建血管方式能安全、有效地使血流再通。
Objective To investigate the effectiveness and safety of Solitaire stent in the treatment of acute thromboembolism during interventional embolization of intracranial aneurysms. METHODS: From July 2009 to January 2015, 8 patients with acute vascular occlusion were treated with interventional embolization of intracranial aneurysms. Six patients underwent mechanical thrombectomy with a Soliraire stent and two with a Soliraire stent to reconstruct vascular blood flow Recanalization and complete embolization of intracranial aneurysms. Analysis of immediate vascular recanalization effect, postoperative bleeding and ischemic conditions. Results All 8 patients were safely and effectively completed occlusion vessel blood flow recanalization, 6 patients were successful in mechanical embolectomy, and 2 patients were unsuccessful in multiple embolectomy. Considering the occlusion of plaque, occlusion plaque Reconstruction of blood vessels to make blood flow recanalization; 8 patients after surgery showed no signs of intracranial hemorrhage and ischemia, no obvious neurological deficit. Conclusion When the acute embolization of intracranial aneurysms during endovascular treatment of intracranial aneurysm occurs, the Solitaire stent can safely and effectively recheck the blood flow through mechanical thrombectomy and stent reconstruction.