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Post-Circulation Aneurysm
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neurosurgeon
August 24, 2012
Education
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69
Post-Circulation Aneurysm
By Dr. Zhang Ling-yun
neurosurgeon
August 24, 2012
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Transcript
后循环动脉瘤的治疗体会 中南大学湘雅二医院 张凌云 博士 主治医师
后循环动脉瘤约占颅内动脉瘤 15% 大多为治疗困难的复杂动脉瘤 :毗邻脑 干、脑神经、穿支血管丰富、动脉瘤多不规 则(以梭形或夹层动脉瘤常见) 大多适合血管内治疗
病例一、小脑后下动脉动脉瘤(单纯栓塞) 曹某,F48,SAH,小脑后下动脉动脉瘤 后循环动脉瘤大多适合介入治疗
病例二、PICA远段动脉瘤 文某,M45,SAH 大脑后动脉动脉瘤 左颈内造影:左侧P2段动脉瘤 微管造影证实动脉瘤 栓塞后左椎造影显示动脉瘤 消失,载瘤动脉通畅
病例三、基底动脉宽颈动脉瘤(双微导管技术) 楚某,M65,SAH,基底动脉宽颈动脉瘤
病例三、基底动脉宽颈动脉瘤(双微导管技术) 基底动脉宽颈动脉瘤,采用双微导管技术填塞满意
邓某,F51,SAH,HH2级,DSA:基底动脉顶端宽颈动脉瘤 病例四、基底动脉顶端宽颈动脉瘤
病例四、基底动脉顶端宽颈动脉瘤 示意图:利用SOLITARE AB支架(红色)顶端支撑作用填塞弹簧圈(绿色)
病例四、基底动脉宽颈动脉瘤“冰激凌蛋筒栓塞” 以SOLITARE支架为“蛋筒”开口对准动脉瘤颈,稳定弹簧圈的“冰激凌”于瘤内
病例五、基底动脉宽颈动脉瘤 徐某,M47,SAH,基底动脉梭形动脉瘤
病例五、基底动脉宽颈动脉瘤 示意图:将梭形动脉瘤分解为两部分分别用支架辅助进行栓塞
病例五、基底动脉宽颈动脉瘤 STEP 1:先对远端动脉瘤进行支架辅助弹簧圈栓塞
病例五、基底动脉宽颈动脉瘤 STEP2 :对近端小动脉瘤进行支架辅助栓塞术
病例五、基底动脉宽颈动脉瘤 术前 术后
病例六、蛇形巨大动脉瘤 动脉瘤中的“癌症”?
文献学习 1 基底动脉顶部宽颈动脉瘤Y型支架 辅助栓塞术 neurosurgery 2011,November
文献学习 1
文献学习2
展 望 材料学:密网支架-血流导向装置可能是难治性基底动脉梭形动脉瘤 治疗的希望 显影技术:microaniograhpy et al.
充分的想象力和技艺
谢谢!