Anatomically conformable, three-dimensional, detachable platinum microcoil system for the treatment of intracranial aneurysms.
Anatomically conformable, three-dimensional, detachable platinum microcoil system for the treatment of intracranial aneurysms.
复制标题
符合解剖学原理的三维可拆卸铂微线圈系统，用于治疗颅内动脉瘤。
DOI：
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复制
发表时间：
2004
期刊：
影响因子：
--
通讯作者：
A. Molyneux
中科院分区：
文献类型：
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作者：
D. Niemann;R. Aviv;C. Cowsill;M. Sneade;A. Molyneux
背景和目的
可解脱铂弹簧圈的配置在过去十年中不断发展。我们的目的是评估解剖学贴合三维（ACT）可解脱铂微弹簧圈治疗颅内动脉瘤的有效性。
方法
2000年5月至2002年8月期间，141例患者接受了一名神经介入医生的颅内动脉瘤血管内治疗。8名患者在另一个研究所接受治疗或目前在海外。其余133例患者有141个动脉瘤，接受了治疗; 110个破裂，31个未破裂。记录临床状况和动脉瘤位置。手术技术与Guglielmi可解脱弹簧圈（GDC）器械相同，但弹簧圈解脱机制独特。几乎所有病例均使用ACT弹簧圈作为初始弹簧圈。
结果
104个（74%）动脉瘤实现完全（100%）闭塞。34例（24%）次全闭塞≥ 95%，3例（2%）不完全闭塞（<95%）。ACT弹簧圈符合球形和不规则形状的动脉瘤。未发生手术相关死亡，也未发生与弹簧圈展开相关的动脉瘤破裂。未观察到术后再出血。
结论
ACT微弹簧圈可作为替代铂弹簧圈器械，与其他现有器械相比具有一些优势。
BACKGROUND AND PURPOSE
The configurations of detachable platinum coils have evolved over the last decade. Our objective was to assess the efficacy of the anatomically conformable three-dimensional (ACT) detachable platinum microcoil in the treatment of intracranial aneurysms.
METHODS
A series of 141 patients presented between May 2000 and August 2002 to a single neurointerventionalist for endovascular treatment of intracranial aneurysms. Eight patients were treated at another institute or are now overseas. The remaining 133 patients had 141 aneurysms, which were treated; 110 were ruptured and 31 were unruptured. The clinical conditions and aneurysm locations were recorded. The procedural technique was the same as that used with the Guglielmi detachable coil (GDC) device, though the coil detachment mechanism was unique. The ACT microcoil was used in almost all cases as the initial coil.
RESULTS
Complete (100%) occlusion was achieved in 104 (74%) aneurysms. Thirty four (24%) had subtotal occlusion > or = 95%), and three (2%) had incomplete occlusion (<95%). The ACT coil conformed to both spherical and irregularly shaped aneurysms. No procedure-related deaths occurred, and there was no aneurysm rupture related to coil deployment. No postprocedural rebleeding was observed.
CONCLUSION
The ACT microcoil device is feasible as an alternative platinum coil device, offering some advantages over other currently available devices.
影响因子：
158.5
作者：
Wiebers, D;Whisnant, J;Kivisaari, R
通讯作者：
Kivisaari, R
电可脱线圈颅内动脉瘤的血管内闭塞：动脉瘤颈大小与治疗结果的相关性。
DOI：
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发表时间：
1994
期刊：
AJNR. American journal of neuroradiology
影响因子：
--
作者：
FernandezZubillaga,A;Guglielmi,G;Viñuela,F;Duckwiler,GR
通讯作者：
Duckwiler,GR