CoClinicalresearch:·临床研究800介入放射学杂志2023年8月第32卷第8期JInterventRadiol2023,Vol.32,No.83D打印技术辅助微导管塑形在颅内动脉瘤栓塞术中的应用张明辉,杨呈浩,陈立珂,赖挺,丁昊【摘要】目的探讨3D打印技术辅助微导管塑形在颅内动脉瘤栓塞术中的应用价值。方法去纳入2020年5月至2022年1月自贡市第四人民医院采用3D打印辅助微导管塑形技术进行颅内动脉瘤栓塞治疗的32例患者(32枚动脉瘤),评判微导管塑形效果及动脉瘤栓塞结果。结果32例患者微导管塑形均满意,一次到位成功,无重复塑形患者。26枚动脉瘤采用回撤技术使微导管落人动脉瘤腔,6枚动脉瘤通过微导丝引导人动脉瘤腔。所有患者栓塞术中微导管形态保持稳定,无微导管脱出事件。术后即刻血管造影显示,动脉瘤完全栓塞24枚,近全栓塞5枚,不全栓塞3枚。随访3个月,改良Rankin评分量表(mRS)评分0~2分29例,36分3例。结论3D打印技术辅助微导管塑形方法应用于颅内动脉瘤栓塞术安全有效,有助于准确塑形微导管,顺利推进手术进程。【关键词】】三维打印技术;颅内动脉瘤;微导管;塑形;栓塞中图分类号:R651.12文献标志码:B文章编号:1008-794X(2023)-08-0800-04Theaapplicationofthree-dimensionallprintingtechnology-assistedmicrocatheterrshapingininterventionalembolizationtreatmentofintracranialaneurysmsZHANGMinghui,YANGChenghao,CHENLike,LAITing,DINGHao.DepartmentofNeurosurgery,ZigongMunicipalFourthPeople'sHospital,Zigong,SichuanProvince643000,Chinarrespondingauthor:DINGHao,E-mail:dinghaowws@126.con[AbstractObjectiveToexploretheapplicationvalueofthree-dimensional(3-D)printingtechnology-assistedmicrocathetershapingininterventionalembolizationtreatmentofintracranialaneurysm.MethodsAtotalof32patientswithintracranialaneurysm(32aneurysmsintotal),whowereadmittedtotheZigongMunicipalFourthPeople'sHospitalofChinabetweenMay2020andJanuary2022toreceiveinterventionalarterialembolizationtreatmentwiththehelpof3-Dprintingtechnology-assistedmicrocathetershaping,wereenrolledinthisstudy.Theeffectofmicrocathetershapingandtheresultsofaneurysmembolizationwereevaluated.ResultsInallthe32patients,satisfactorymicrocathetershapingwasobtainedandsuccessfulcatheterizationofthemicrocatheterintothetargetedsitewi...