| 丁立山,陈清亮.体外膜肺氧合支持下行全脑血管造影及Neuroform Atlas支架辅助弹簧圈栓塞动脉瘤1例[J].安徽医药,待发表. |
| 体外膜肺氧合支持下行全脑血管造影及Neuroform Atlas支架辅助弹簧圈栓塞动脉瘤1例 |
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| 投稿时间：2023-11-09 录用日期：2023-11-28 |
| DOI： |
| 中文关键词: 体外膜肺氧合 脑血管造影 Neuroform Atlas支架 颅内动脉瘤 蛛网膜下腔出血 |
| 英文关键词: |
| 基金项目:河南省医学科技攻关计划联合共建项目：2018020580 河南省医学科技攻关计划联合共建项目：LHGJ20210255 |
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| 中文摘要: |
| 摘要：目的 探索体外膜肺氧合（Extracorporeal membrane oxygenation，ECMO）支持下行全脑血管造影及动脉瘤栓塞的诊疗经验。 方法 总结河南省直第三人民医院放射介入科2023年2月15日收治的1例颅内动脉瘤破裂致蛛网膜下腔出血在ECMO支持下进行动脉瘤栓塞患者急诊抢救过程。 结果 患者主诉头晕呕吐4h，意识障碍2h。术前诊断：脑出血。入院后2h出现严重低氧血症，经传统机械通气无效，予以早期实施动脉-静脉ECMO，后行全脑血管造影及Neuroform Atlas支架辅助弹簧圈栓塞动脉瘤手术，成功救治病人。 结论 置入ECMO的动脉瘤破裂患者可在恢复血流动力学相关指征后行支架辅助下动脉瘤栓塞术进行去除病因治疗。 |
| 英文摘要: |
| Abstract: objective To explore the diagnosis and treatment experience of total cerebral angiography and aneurysm embolization supported by extracorporeal membrane oxygenation (ECMO). Method To summarize the emergency rescue process of a patient with subarachnoid hemorrhage caused by ruptured intracranial aneurysm treated in the Department of radiation intervention of Henan No.3 Provincial People’s Hospital on Feb. 15, 2023, with the support of ECMO. Result The patient complained of dizziness and vomiting for 4 hours and disturbance of consciousness for 2 hours. Preoperative diagnosis: cerebral hemorrhage. Severe hypoxemia occurred 2 hours after admission, and traditional mechanical ventilation was ineffective. Arterial-venous ECMO was performed early, followed by total cerebral angiography and NeuroformAtlas stent-assisted coil embolization of aneurysms, and the patients were successfully treated. Conclusion Patients with ruptured aneurysms implanted with ECMO can be treated by stent-assisted aneurysm embolization after the restoration of hemodynamic indications. |
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