摘要
目的 总结 45例破裂性前交通动脉瘤急症血管内栓塞治疗的经验和体会。方法 采用电解可脱卸弹簧圈 (Guglielmidetachablecoil,GDC)作动脉瘤内填塞治疗。 结果 动脉瘤完全闭塞 2 5例 ,90 %以上闭塞 14例 ,小于 90 %闭塞 6例 ;2次填塞 2例 ,复发经手术治愈 1例。术后并发脑梗死 7例 ,术后死于肺部并发症 1例 ,植物人状态生存 1例。随访 1～ 2 0个月 ,治疗结果稳定。颅内多动脉瘤 5例 ,4例 1次填塞成功。结论 GDC栓塞治疗破裂性前交通动脉瘤效果好。虽然有较高的脑梗死发生率 ,但临床预后良好。
Objective To summarize 45 cases of ruptured anterior communicating artery aneurysms treated with GDCs.Methods All aneurysms were emblized with GDCs. Results Complete embolization was achieved in 25 aneurysms, subtotal in 14, and partial in 6. Two cases were cured by the second time emblization. One case of recurrent aneurysm after GDC treatment was curved by surgical clipping. Brain infarction was noted in 7 cases after the endovacular procedure, and one of them died of pneumonia, another one remained in permanent coma. 1～20 months follow up showed stable result. 4 of 5 cases with multi intracranial aneurysms had been treated with on of this procedure. Conclusions The result of endo vascular treatment of anterior communicating artery aneurysms in the early period after rupture was good. Although there was a re latively high risk of local brain infarction, the clinical outcome was satisfactory.
出处
《介入放射学杂志》
CSCD
2001年第2期72-74,共3页
Journal of Interventional Radiology
