中国脑血管病杂志2017，Vol.14Issue(3)：133-138,6.DOI:10.3969/j.issn.1672-5921.2017.03.005
Navien导管在颅内动脉瘤栓塞术中的应用
Application of Navien catheter in intracranial aneurysm embolization
吴德刚 1李真保 1赵心同 1赖年升 1刘佳强 1盛斌 1袁金龙 1方兴根1
作者信息
- 1. 241001 安徽省芜湖市,皖南医学院附属弋矶山医院神经外科
- 折叠
摘要
Abstract
Objective To investigate the application technology and effect of Navien catheter in intracranial aneurysms embolization.Methods The clinical data of 15 patients with intracranial aneurysm treated with Navien catheter in Department of Neurosurgery of Yijishan Hospital Affiliated to Wannan Medical College from March to December 2016 were analyzed retrospectively. The extracranial segments of internal carotid arteries were seriously tortuous in all patients. The coaxial system was used during procedure. Whether the Navien catheter could be smoothly placed into the target artery or not was observed,and the coils or stent-assisted coils were used to embolize the intracranial aneurysms in the corresponding positions. The immediate embolization results were assessed by the Raymond grading. The intraoperative and postoperative complications were observed and the patients were followed up by imaging.Results All 15 patients had abnormal tortuosity of extracranial segments of internal carotid arteries. The Navien catheter was able to smoothly pass through the tortuous vessels and reach the desired position. The stent-assisted coil embolization was used in 9 patients,and the coil embolization was used in 6 patients. The success rate of the coil and stent placement technology was 100%. The stents were all accurately put in place without shift. According to the Raymond grading,the immediate embolization rate of aneurysms showed that 15 patients achieved Raymond gradeⅠ. One case developed internal carotid spasm during the procedure. The patient was improved after giving papaverine. Others did not have intraoperative complications,such as cerebral vasospasm,vascular dissection,in-stent thrombosis,and intraoperative aneurysm rupture. Five patients were followed up for 3 to 6 months with digital subtraction angiography (DSA). There was no recurrence of aneurysm and no in-stent stenosis and shift,No rebleeding or cerebral ischemia was observed.Conclusion Forpatients with severely tortuous in extracranial segments of internal carotid artery,using the Navien catheter may overcome artery tortuosity and other unfavorable factors of the patients and successfully reach the target vessel position,enable the embolization of intracranial aneurysms to be completed successfully.关键词
颅内动脉瘤/血管内治疗/血管迂曲/Navien导管Key words
Intracranial aneurysms/Endovascular treatment/Vascular tortuosity/Navien catheter引用本文复制引用
吴德刚,李真保,赵心同,赖年升,刘佳强,盛斌,袁金龙,方兴根..Navien导管在颅内动脉瘤栓塞术中的应用[J].中国脑血管病杂志,2017,14(3):133-138,6.
