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Treatment of the acute thromboembolic event during endovascular embolization of intracranial aneurysm

Journal of Interventional Medicine 2020年第4期3卷 208-212页

作者： Bing Zhou Yang He Jun Cheng XiaoDong Lu MingZhao Zhang Bo Li RongQing Qin ZhongMing Gao Department of Interventional Neuroradiology Hangzhou Normal University HospitalHangzhou CityZhejiang ProvinceChina Department of Neurology Hangzhou Normal University HospitalHangzhou CityZhejiang ProvinceChina Department of Neurosurgery Hangzhou Normal University HospitalHangzhou CityZhejiang ProvinceChina

Objective:The study aimed to discuss the treatment of acute thromboembolic event(TE)during endovascular embolization of intracranial ***:Between April 2013 and April 2019,158 patients with 167 intracranial aneurysms were treated with endovascular embolization in our hospital,in which 9 cases of acute TEs occurred during the embolization *** clinical data,radiological findings and treatments of the 9 patients were reviewed and ***:The TEs occurred at the aneurysmal neck in 3 patients,at distal part of the parent artery in 3,in the stent in 2,and at the proximal part of the parent artery in ***-arterial(IA)infusion of tirofiban were performed in 6 patients,mechanical thromboectomy(mt)with a stent in 2 patients,and combined use of the two methods in 1 *** to the modified Thrombolysis In Cerebral Infarction(mtICI)score,7 patients had recanalization of 2b/3a,1 patients had recanalization of 1,and 1 patients had recanalization of *** discharge,the mRS score was 0 in 3 patients,1 in 3 patients,and 2,3,4 in 1 patient each.6 months after the endovascular treatment,the mRS score was 0 in 5 patients,1 in 2 patients,and 3 in 1 ***:IA tirofiban and mt are effective remedies for the acute TE during endovascular embolization of intracranial aneurysm,reasonable selection of which may improve the prognosis of patients.

关键词： Aneurysm Embolization mechanical thromboectomy,mt Thromboembolic event,TE Intra-arterial,IA

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