摘要
目的探讨颅内动脉瘤的旋转DSA诊断和介入治疗价值。方法颅内动脉瘤患者22例,常规选择性两侧颈内动脉系正侧位造影,椎动脉系汤氏位、侧位DSA采集摄片,对怀疑血管加做180°旋转DSA检查。2例动脉瘤病人行电解可脱卸弹簧圈(Guglielmidetachablecoil,GDC)栓塞治疗。结果常规DSA检查16例瘤颈、瘤体显示清晰,4例显示欠清晰,2例未显示;在旋转DSA片中,所有病例的动脉瘤结构、全貌及与周围血管关系清晰显示。2例GDC栓塞术后1周病愈出院。结论旋转DSA是颅内动脉瘤的有效补充诊断手段。GDC栓塞技术安全、可靠,是治疗脑动脉瘤的有效方法之一。
Objective To study the diagnosis of intracranial aneurysm with rotational DSA and to evaluate interventional therapy. Methods 22 patients with intracranial aneurysms were studied with traditional and rotational DSA, and 2 of them underwent Guglielmi detachable coil (GDC) embolization therapy. Results The neck and body of aneurysms were well shown in 16 patients, and poorly revealed in 4 patients, and not visualized in 2 patients on traditional DSA, while the structures were demonstrated on rotational DSA in all patients. 2 patients received GDC embolization and were discharged within a week. Conclusion Rotational DSA is a good modality for the diagnosis of intracranial aneurysm. Embolization of intracranial aneurysm with GDC is a safe, effective and reliable treatment.
出处
《影像诊断与介入放射学》
2004年第4期235-237,共3页
Diagnostic Imaging & Interventional Radiology
