摘要
目的:总结32例破裂性前交通动脉瘤血管内栓塞治疗的经验和体会。方法:经血管内途径,采用可脱性弹簧圈对32例破裂性前交通动脉瘤患者行栓塞治疗;术后早期处理出血、预防和治疗脑血管痉挛及有效的对症治疗。结果:成功栓塞32个动脉瘤,术后动脉瘤腔100%闭塞者21例,95%闭塞者9例,90%闭塞者2例。术中动脉瘤破裂1例,并发脑血管痉挛4例,死亡1例。术后26例随访3个月～2年无再出血。结论:对破裂性前交通动脉瘤采用微弹簧圈进行血管内栓塞疗效可靠;早期治疗、正确处理术中并发症及术后早期处理出血、预防和治疗脑血管痉挛是减少术后并发症、提高治愈率的重要方法。
Objective To summarize the treatment experience of endovascular embolization for ruptured anterior communicating artery aneurysms. Methods Microcoil embolization was performed in 32 patients via femoral artery catheterization to block the aneurysmal sac. Early bleeding control, prevention and treatment of cerebrovasospasm, and other effective symptomatic therapies were administered. Results Embolization was successfully performed in all patients. The aneurysmal sac was fully embolized in 21 patients, 95% occluded in 9, and 90% blocked in 2. Intraoperative rupture occurred in one patient and cerebrovasospasm in 4; one patient died. In a postoperative follow-up of 3 to 24 months, no rebleeding was found in 26 patients. Conclusions Microcoil embolization is safe and effective in treating ruptured anterior communicating artery aneurysm. Early procedure, proper management of intraoperative complications and postoperative bleeding, and prevention and treatment of cerebrovasospasm are important measures to reduce postsurgical complications and to improve cure rate.
出处
《实用医学杂志》
CAS
北大核心
2009年第14期2300-2302,共3页
The Journal of Practical Medicine
基金
安徽省卫生厅临床医学应用技术研究项目(06B014)
关键词
颅内动脉瘤
前交通动脉瘤
血管内栓塞
Intracranial aneurysm
Anterior aneurysms
Endovascular embolization
