摘要
目的总结血管内栓塞治疗破裂前交通动脉瘤的经验体会，探讨其适应证、技术要点及并发症的防治。方法回顾性分析应用血管内栓塞治疗的56例破裂前交通动脉瘤患者的临床资料、栓塞过程以及疗效。结果56例中成功栓塞54例，其中45例100％栓塞，8例95％栓塞，1例90%栓塞。术中破裂1例，后顺利栓塞。5例出现严重血管痉挛。2例死于术后并发症。随访6～36个月，无术后再出血病例。结论血管内栓塞是治疗前交通动脉瘤的一种微创、相对安全有效的治疗方法。
Objective To summarize the experience of endovascular treatment of ruptured anterior communicating artery aneurysms and discuss the indications of the embolization, the technique points of procedure and complications. Methods The clinical data of 56 cases of ruptured anterior communicating artery aneurysms treated by endovascular embolization were retrospectively reviewed. Two of 16 cases of wide-neck aneurysms were treated with balloon-assisted coil emboliaztion and double microcathaters respectively, Results Two of 56 cases failed to interventional treatment and treated surgically, and rest 54 cases were embolized successfully, Total obliteration of aneurysms was achieved in 45 aneurysms, 8 aneurysms were 95 % embolized, and one aneurysm 90% embolized, Perforation during embolization occurred in one patient and was treated uneventfully, Severe vasospasm was seen in 5 cases, Two cases died from complications following embolization. No rebleeding case was found during a follow-up period of 6-36 months postembolization. Conclusion Endovascular embolization was a minimally invasive, relatively safe and effective method for treatment of ruptured anterior communicating artery aneurysm, Determination of rational embolization strategy and selection of suitable material for embolization were important for the success of the operation.
出处
《华中科技大学学报（医学版）》
CAS
CSCD
北大核心
2007年第6期780-782,786,共4页
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
关键词
前交通动脉瘤
血管内栓塞
anterior communicating artery aneurys
endovascular embolization
