文献回顾未破裂动脉瘤ppt课件.pptVIP

* 乙方有义务提供相应的执业资格证、执业印章等配合甲方工程招投标、承担的工程项目报建及建设施工过程中各类手续办理。 * Review of published papers Hu Peng 2010-7-20 Pierot, L., L. Spelle, and F. Vitry, Immediate clinical outcome of patients harboring unruptured intracranial aneurysms treated by endovascular approach: results of the ATENA study. Stroke, 2008. 39(9): p. 2497-504. ATENA: Analysis of Treatment by Endovascular approach of Non ruptured Aneurysms. Conducted by the French Society of Neuroradiology (SFNR) 27 Canadian and French neurointerventional centers. 17 months Patients and aneurysm criterea aneurysms less than 15 mm. Excluded aneurysms: Fusiform and dissecting aneurysms aneurysms associated with brain arteriovenous malformations In case of recent subarachnoid hemorrhage (1 month) related to another aneurysm Clinical outcomes evaluation Clinical status: mRS Permanent morbidity and mortality of the treatment was evaluated at 1 month: Morbidity: Asymptomatic aneurysms: mRS 2~5; Symptomatic aneurysms: mRS previous mortality: Any death within 30 days of endovascular treatment Anatomical results: modified 3-point Jean Raymond classification scale: complete occlusion, neck remnant, and aneurysm remnant Description of patients population and aneurysms 24 patients/center 649 patients: 468 female patients, 181 male patients 649 patients with 1100 UIAs, 289 patients with multiple UIAs 700 procedures were performed to treat 739 aneurysms Anterior circulation: 91.9% Posterior circulation: 8.1% results Parent artery occlusion: 12 Coils: 727 aneurysms 396 aneurysms: coils alone 271 aneurysms: remodeling techqiues Stenting: 57 Trispan: 3 Feasibility of Endovascular Treatment of Unruptured Intracranial Aneurysms: 32 aneurysms failed by endovascular approach; 2 patients with multiple UIAs, others ruptured during the procedure; 22 because of anatomical reasons: wide neck not controllable with the remodeling technique, vessel arising from the neck of the aneurysm, and small size of the an