期刊文献+

后循环动脉瘤破裂急性期介入治疗的应用 被引量:9

Application of emergent interventional treatment of ruptured posterior circulation cerebral aneurysms
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摘要 目的研究后循环动脉瘤破裂急性期微导管栓塞术的临床价值。方法对11例后循环动脉瘤破裂急性期(3天内)的患者采用微导管技术进行动脉瘤腔栓塞术,针对手术成功率,术后再出血发生率,患者恢复情况以及6个月随访情况进行研究。结果11例患者接受了急诊栓塞术,共栓塞动脉瘤12个。手术成功率100%,致密填塞率83.3%,死亡1例。结论后循环动脉瘤急性期微导管栓塞术可有效降低急性期动脉瘤二次出血发生率。 Objective To evaluate the clinical signification of endovascular embolization in acute stage of ruptured posterior circulation cerebral aneurysms. Methods In 11 patients, endovascular treatment was performed to embolize the ruptured posterior circulation cerebral aneurysms during the acute stage. Nine patients were followed-up for 6 months. Mortality, rebleeding rate and recovery state were observed. Results Eleven cases (12 aneurysms) were embolized with GDC successfully. 83.3% of patients (10/12) were achieved more than 95 % occlusion. One patient came into deep coma after embolization and died finally. Conclusion Emergent endovascular embolization in ruptured posterior circulation cerebral aneurysms can reduce the mortality and the rebleeding rate of aneurysms.
出处 《中国医学影像技术》 CSCD 北大核心 2007年第1期49-51,共3页 Chinese Journal of Medical Imaging Technology
基金 江苏省卫生厅"135"工程资助课题(36RC2002036)。
关键词 后循环 脑动脉瘤 栓塞 Posterior circulation Intracranial aneurysm Embolization
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参考文献3

  • 1Malisch TW,Guglielmi G,Vinuela XF,et al.Intracranial aneurysms treated with the Guglielmi detachable coils:midterm clinical results in a consecutive series of 100 patients[J].J Neurosurg,1997,87(2):176-183.
  • 2Lempert TE,Malek AM,Halbach VV,et al.Endovascular treatment of ruptured posterior circulation cerebral aneurysms:clinical and angiographic outcome[J].Stroke,2000,31(1):100-110.
  • 3杨华,刘健,周石,刘窗溪,孙业忠,陈益民,韩国强,高方友,董明昊,宋杰,张继方,唐家祥,许红,吴晓萍.三维DSA在诊断和栓塞治疗脑动脉瘤中的价值[J].中华放射学杂志,2003,37(4):360-362. 被引量:35

二级参考文献5

  • 1Heautot JF, Chabert E, Gandon Y, et al. Analysis of cerebrovascular diseases by a new 3-demensional computerized X-ray angiography system. Neuroradiology, 1998, 40:203-209.
  • 2Missler U, Hundt C, Wiesmann M, et al. Three-demensional reconstructed rotational digital subtraction angiography in planning treatment of intracranial aneurysms. Eur Radiol, 2000, 10: 564-568.
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  • 4王大明,凌锋,李萌,张鸿祺,缪中荣,宋庆斌,郝蔓春,张洋.颅内动脉瘤囊内栓塞治疗中并发症的分析[J].中华外科杂志,2001,39(1):36-38. 被引量:36
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