摘要
目的总结颅内后循环夹层动脉瘤的诊断和血管内治疗经验。方法回顾性分析13例血管内治疗后循环夹层动脉瘤的临床资料,采用单纯弹簧圈栓塞4例,支架辅助弹簧圈栓塞4例,单纯弹簧圈闭塞载瘤动脉3例,单纯支架置入2例。结果完全栓塞7例,次全栓塞3例,载瘤动脉闭塞3例。随访11例,时间6～24个月,平均7.6个月;临床症状均不同程度改善,出现脑缺血症状1例,死亡2例;DSA或MRA复查发现复发1例,支架内血管狭窄1例。结论血管内治疗是颅内后循环夹层动脉瘤的合适选择,长期随访对评价血管内治疗的有效性和安全性非常必要。
Objective To summarize experiences in diagnosis and treatment of intracranial dissecting aneurysm in the posterior circulation.Methods Clinical data from 13 patients with intracranial dissecting aneurysm were analyzed retrospectively,including 4 by simple coil embolization alone,4 by embolization assisted with stent,3 by occlusion of the parent artery with simple detachable coil,and 2 by stent implantation alone.Results Complete embolization was achieved in 7 patients,partial in 3 and occlusion of the parent artery in 3.Follow-up was performed in 11 patients for a mean of 7.6 months,ranged from 6 to 24 months.The clinical symptoms of all the patients were improved to different degrees,cerebral ischemia occurred in 1 case,and 2 patients died.DSA or MRA showed intracranial aneurysm reoccurred in 1 patient,in-stent restenosis occurred in 1.Conclusions Endovascular treatment is a suitable choice for intracranial dissecting aneurysm in the posterior circulation,and long-term follow-up is very necessary for evaluating the effectiveness and safety of endovascular treatment.
出处
《中国微侵袭神经外科杂志》
CAS
北大核心
2010年第7期301-303,共3页
Chinese Journal of Minimally Invasive Neurosurgery
关键词
动脉瘤
夹层
颅内动脉瘤
血管内治疗
aneurysm
dissecting
intracranial aneurysm
endovascular treatment
