摘要
目的探讨个体化血管内介入治疗颅内动脉瘤的经验。方法回顾性分析30例颅内动脉瘤病人(32个动脉瘤)的临床资料,均采用血管内介入治疗。其中行单纯弹簧圈栓塞治疗动脉瘤15个,支架辅助弹簧圈栓塞治疗12个,球囊辅助弹簧圈栓塞治疗2个,载瘤动脉闭塞治疗3个。结果动脉瘤致密栓塞22个,大部栓塞7个,载瘤动脉闭塞后不显影3个。术中动脉瘤破裂2例,严重血管痉挛1例。随访1～72个月,恢复良好25例,轻残1例,重残1例,死亡3例。结论个体化血管内介入治疗是处理颅内动脉瘤安全、有效的方法;合理选择介入技术及正确处理并发症是治疗成功的关键。
Objective To evaluate the experience of individualized endovascular treatment for intracranial aneurysms.Methods The clinical data of 30 patients with 32 intracranial aneurysms were analyzed retrospectively.Endovascular treatment was performed in all the patients including simple detachable coil embolization in 15 aneurysms,stent-assisted coil embolization in 12,balloon-assisted coil embolization in 2 and occlusion of the parent arteries in 3.Results Complete embolization was achieved in 22 aneurysms,subtotal embolization in 7 and non-development of aneurysm after parent artery occlusion in 3.Intraoperative rupture of aneurysm occurred in 2 patients and severe vasospasm in 1.During the follow-up period from 1 to 72 months,25 patients recovered well,1 was mildly disabled,1 severely disabled and 3 died.Conclusions Individualized endovascular treatment is a safe and effective method for intracranial aneurysms.Rational selection of interventional techniques and correct management of complications are key factors for successful treatment.
出处
《中国微侵袭神经外科杂志》
CAS
北大核心
2010年第10期457-458,共2页
Chinese Journal of Minimally Invasive Neurosurgery
关键词
颅内动脉瘤
支架
弹簧圈
血管外科手术
intracranial aneurysms
stents
coils
vascular surgical procedures
