检索结果-南通市图书馆

Use of pCONUS HPC for the treatment of unruptured wide- necked bifurcation aneurysms: early clinical experience using single antiplatelet therapy

引用

Stroke & Vascular Neurology 2021年第1期6卷 57-64页

作者： Marta Aguilar Perez Victoria Hellstern Carmen Serna Candel Christina Wendl Hansjorg Bazner Oliver Gansladt Hans Henkes Neuroradiologische Klinik NeurozentrumKlinikum StuttgartStuttgartGermany Institut fur Rontgendiagnostik Zentrum fur NeuroradiologieFakultat für Medizin der Universitat RegensburgRegensburgGermany Neurologische Klinik NeurozentrumKlinikum StuttgartStuttgartGermany Neurochirurgische NeurozentrumKlinikum StuttgartStuttgartGermany Medizinische Fakultat Universitat Duisburg-EssenEssenGermany

Background In recent years,a growing number of stents and stent-like devices have become available to facilitate the treatment of challenging ***,the need for dual antiplatelet therapy can limit their use,especially in ruptured *** hydrophilic polymer coating(pHPC,phenox)is a novel glycan-based multilayer polymer that reduces platelet *** study aims to report our initial experience using the pCONUS HPC device for the treatment of unruptured wide-necked bifurcation aneurysms(WNBA)using acetylsalicylic acid(ASA)as single antiplatelet therapy(SAPT).Methods We retrospectively identified all patients who were treated with the pCONUS HPC for unruptured WNBA in a multi-staged procedure using ASA as *** were made of periprocedural complications,clinical outcome and angiographic and clinical *** We identified 15 patients with 15 *** average age was 69 years old(range,41-76).Seven aneurysms were located in the middle cerebral artery,five in the anterior communicating artery,two at the basilar tip and one in the posterior communicating *** post-treatment angiography showed five aneurysms with modified Raymond-Roy classification(mRRC)grade Ⅰ and four aneurysms with mRRC grade Ⅱ.There were no haemorrhagic *** patients developed thrombus formation during the second treatment session,all of them completely resolving after administration of glycoprotein Ⅱb/Ⅲa *** follow-up data were available for 10 patients and showed adequate occlusion(mRRC Ⅰ or Ⅱ)in eight aneurysms(80%).In-stent stenosis was observed in one patient whereas two patients showed de novo stenosis in one of the efferent *** This early experience on the use of the pCONUS HPC device suggests that it can be useful for treating unruptured WNBA under ASA as *** investigation with a randomised treatment registry and larger cohort is needed.

关键词： treatment bifurcation HPC

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

复发性腰椎间盘突出脊髓造影CT诊断标准

引用

放射学实践 1990年第4期5卷 170-172页

作者： B.Haubitz 李贵林 Abteilung neuroradiologie Zentrum RadiologieMedizinische Hochschule Hannover 同济医科大学附属同济医院

复发性椎间盘突出与瘢痕组织的鉴别诊断至今仍很困难,若无磁共振断层扫描,则普通脊髓造影和脊髓造影CT的联合应用是最好的诊断方法。

关键词：椎间盘突出脊髓造影 CT 诊断

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Intracranial Atherosclerosis: The Natural History and Management Strategies

引用

World Journal of Cardiovascular Diseases 2014年第7期4卷 350-360页

作者： Ossama Mansour Martin Schumacher Mohammad A. Farrag Foad Abd-Allah Freiburg Uniklinik Neurozentrium Neuroradiologie Abt. Freiburg Germany Neurology and Interventional Neurology Service Department Alexandria University Hospital Alexandria Egypt Neurology Department Cairo University Hospitals Cairo Egypt

Intracranial atherosclerotic disease (ICAD) represents a major cause of stroke and transient ischemic attacks. The prevalence and natural course of ICAD are closely related to race and ethnicity. The best treatment for ICAD is a crucial issue;data from recent trials indicate that aggressive medical management and life style modifications are better than endovascular treatments for prevention of recurrent stroke in high-risk patients with ICAD. Endovascular treatment is still an option for subgroup of patients who are not responded to optimal medical therapy.

关键词： Intracranial Atherosclerosis Medical Therapy Endovascular Treatment

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Stroke MRI 1

引用

2003年

作者： Jochen B. Fiebach Klaus Sartor Sabine Heiland Peter D. Schellinger Werner Hacke Steven Warach

来源：畅想之星图书光盘版（南... 评论

在线全文

畅想之星图书光盘版（南通市图书馆镜像）

学校读者我要写书评

暂无评论

脑积水病人手术治疗后脑脊液容积三维成像的初步研究

引用

国际医学放射学杂志 2014年第2期 186-187页

作者： J,Hodel P.Besson A.Rahmouni E.Petit A.Lebret B.Grandjacques 张倩 Service de neuroradiologie Hpital Roger Salengro59037 LilleFrance

目的建立自动化变形模型以评估手术治疗前后脑积水病人脑脊液(CSF)容积的变化。方法采用Jacobian行列式对变形场术前、术后的图像进行非线性配准后,计算脑

关键词：脑脊液脑积水 MRI 变形模型 SPACE MR序列

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

症状性脑内动脉粥样硬化性血栓形成性狭窄的前瞻性研究:GESICA研究

引用

世界核心医学期刊文摘（神经病学分册） 2006年第9期2卷 16-17页

作者： Mazighi M. Tanasescu R. Ducrocq X. 樊慧婷(译) Service de neuroradiologie Hoepital Lariboisière 2 rue Ambroise Pare 75010 Paris France 不详

Background: Symptomatic intracranial atherothrombotic stenoses (ICAS) are associated with high rates of cerebrovascular ischemic events. Objective: To conduct a prospective multicenter study to evaluate the natural history of ICAS and, in those patients refractory to medical treatment, the outcomes associated with intracranial angioplasty. Methods: Patients aged 18 to 80 were enrolled with symptoms attributed to a single ICAS of ≥50%. Optimal medical therapy of vascular risk factors and preventive antithrombotic therapy were at the discretion of the local investigator. Patients were eligible for intracranial angioplasty after experiencing recurrent stroke despite medical therapy. Neurologic and ultrasonographic examinations were performed at study inclusion, 3 months after enrollment, and every 6 months of follow-up thereafter, for 36 months. Results:One hundred two patients were included, with a mean age of 63.3 ±10.4 years. Intracranial artery stenoses involved the vertebral artery in 22.5%, the basilar artery in 25.5%, the middle cerebral artery in 26.5%, and the internal carotid artery in 25.5%. In 27.4%of the patients, the stenoses had clinical hemodynamic characteristics. During a mean follow-up of 23.4 months, 38.2%of the patients had a cerebrovascular event: ischemic stroke in 13.7%and TIA in 24.5%. Among patients with a hemodynamically significant stenosis, 60.7%had a recurrent stroke or TIA in the territory of the stenotic artery; this association was significant in univariate ***-eight patients underwent an endovascular procedure with a neurologic periprocedural complication rate of 14.2%.The overall vascular death rate was 8.8%. Conclusions: Despite medical treatment, the 2-year recurrence rate of ischemic events in the territory of the stenotic artery was 38.2%. Cardiovascular events occurred in 18.6%of patients. Clinically significant hemodynamic stenoses were associated with stroke recurrence and may help identify a high risk subset of pat

关键词：动脉粥样硬化性动脉狭窄血栓形成性症状性前瞻性研究脑内血流动力学特征脑血管事件

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

钻颅减压后实验性“恶性”大脑中动脉脑梗塞的MRI跟踪监测

引用

德国医学 1999年第6期16卷 320-322页

作者： I.Engelhorn A.Drfler T.Egelhof S.Schwab S.Heiland K.Sartor M.Forsting 李杰 Abteilung neuroradiologie der Universittsklinik Heidelberg Germany 同济医科大学附属同济医院

颈内动脉或大脑中动脉主干栓塞而侧支循环不能代偿,则大脑中动脉供血区出现有严重占位效应的脑梗塞的死亡率高达80%。缺血后脑水肿及脑疝形成是死亡的主要原因。Hacke 称这种预后不良的梗塞为'恶性'大脑中动脉脑梗塞。 1905年 Cuhing ... 详细信息

颈内动脉或大脑中动脉主干栓塞而侧支循环不能代偿,则大脑中动脉供血区出现有严重占位效应的脑梗塞的死亡率高达80%。缺血后脑水肿及脑疝形成是死亡的主要原因。Hacke 称这种预后不良的梗塞为'恶性'大脑中动脉脑梗塞。 1905年 Cuhing 首先采取钻颅减压术治疗颅内压增高症。

关键词：大脑中动脉脑梗塞钻颅减压 NMR 成像

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Pazopanib-induced posterior reversible encephalopathy syndrome with possible syndrome of inappropriate secretion of antidiuretic hormone: an incidental or pathophysiological association?

引用

Neural Regeneration Research 2020年第6期15卷 1166-1168页

作者： Jonathan Wong So Bérenger Largeau Frédérique Beau-Salinas Stephan Ehrmann Christophe Magni Jérome Meunier CHR d’Orléans Service d’Oncologie MédicaleOrléansFrance CHRU de Tours Centre d’Investigation Clinique-CIC INSERM 1415ToursFrance CHRU de Tours Service de PharmacosurveillanceCentre Régional de Pharmacovigilance Centre-Val de LoireToursFrance Universitéde Tours INSERMCentre d’étude des pathologies respiratoires(CEPR)-UMR 1100CHRU de ToursService de Médecine Intensive RéanimationCIC INSERM 1415réseau CRICS-TRIGGERSEPToursFrance CHR d’Orléans Service de NeuroradiologieOrléansFrance

Introduction:Pazopanib is an oral protein kinase inhibitor(PKI)that targets vascular endothelial growth factor(VEGF)receptors,fibroblastic growth factor receptors,platelet-derived growth factor receptors,and stem cell factor that inhibits VEGF-induced cellular *** is approved for use in advanced renal cell carcinoma and subtypes of advanced soft-tissue sarcoma(Deguchi et al.,2018).Major adverse drug reactions of pazopanib include hypertension,high-grade hyponatremia and posterior reversible encephalopathy syndrome(PRES)(Berardi et al.,2016;Deguchi et al.,2018).In clinical trials,few investigations have been conducted to determine the aetiology of PKI-associated hyponatremia,the mechanism remains therefore *** rare cases of PKI-induced syndrome of inappropriate secretion of antidiuretic hormone(SIADH)(Largeau et al.,2019),and none with pazopanib,have been *** is a clinical and radiological entity where a bilateral white matter oedema,occurring predominantly in the posterior occipital and parietal lobes,is associated with several neurologic ***,a recent review suggests that SIADH could be a symptom of PRES(Largeau et al.,2019).To our knowledge,this is the first case published where pazopanib-induced PRES occurs contemporaneously with possible SIADH.

关键词： al. SIADH antidiuretic

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

颈动脉血管成形及支架安放术后的弥散/灌注加权MRI

引用

世界核心医学期刊文摘（神经病学分册） 2005年第2期1卷 24-25页

作者： Gauvrit J. Y. Delmaire C. Henon H. 陈云春 Serv. de neuroradiologie andEA 2691 H.opital Roger Salen gro Rue Emile Laine 59037 Lille Cedex France Dr.

Background and purpose: Carotid angioplasty and stenting, a so far non valida ted procedure, may be an alternative to surgery in patients with a high surgical risk. However, it carries also a risk of cerebral embolic events. The purpose o f this study was to evaluate tissue signal abnormalities in the brain before and after carotid angioplasty and stenting by means of diffu sion (DWI) and perfu sion (PWI) weighted magnetic resonance imaging (MRI). Methods: We performed cere bral MRI before and after carotid angioplasty in 22 consecutive patients, with 2 3 treated high grade carotid stenoses. The lesions were located at the origin o f the internal carotid artery (ICA) in 20 patients, and at the origin of the com mon carotid artery (CCA) in 2. MRI was performed the day before, and repeated wi thin 24 hours after the procedure, and examined by two neuroradiologists. Result s: All stent implantations were successful but 4 patients developed an acute neu rological deficit within 24 hours after carotid angioplasty. On PWI, Time To Pea k (TTP) values ipsilateral to the carotid stenosis were increased before the pro cedure in 15 patients, and had remained normal in 6 and were not assessable in 1 . After the procedure, TTP values were normal in 12 patients, increased in 8 and not assessable in 2. On DWI, new ipsilateral lesions were detected in 2 patient s: 1 with an acute neurological deficit and 1 symptom free. Conclusion: Perfusio n deficits may be present in severe carotid stenosis and be improved within 24 h ours by carotid angioplasty and stenting. Asymptomatic infarcts may occur.

关键词：血管成形 MRI 起始段颈内动脉无症状性脑梗死脑栓塞神经功能损害灌注不足神经放射学达峰值时间

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

根据表观扩散系数预测梗死面积的增长:无需静脉注射对比剂评价半暗带

引用

国际医学放射学杂志 2009年第2期32卷 180-181页

作者： C.Rosso N.Hevia-Montiel S.Deltour *** D.Dormont S. Crozier 高欣 AP-HP-Urgences Cérébro-Vasculaires Laboratoire de Neurosciences Cognitives et Imagerie Cérébraleand APHP-Service de NeuroradiologieUniversité Pierre et Marie Curie

目的通过对急性脑卒中病人的MR扩散加权成像（DWI）进行后处理得到表观扩散系数图（ADC图）来比较预测的和最终梗死的病变体积，证实预测的梗死面积的增长可反映因血管是否再通而处于危险状态的半暗带。方法法国立法规定基于病人医疗... 详细信息

目的通过对急性脑卒中病人的MR扩散加权成像（DWI）进行后处理得到表观扩散系数图（ADC图）来比较预测的和最终梗死的病变体积，证实预测的梗死面积的增长可反映因血管是否再通而处于危险状态的半暗带。方法法国立法规定基于病人医疗文件的此类研究无需通知病人并得到其同意，但病人和（或）其亲属也被告知可拒绝参加此研究。

关键词：表观扩散系数梗死面积半暗带静脉注射预测对比剂 MR扩散加权成像 ADC图

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：