颅内动脉瘤栓塞治疗的并发症  

Complications of intracranial aneurysms embolization

作　　者：马骏[1] 常义[1] 刘宏毅[1] 黄庆玖[1] 

机构地区：[1]南京医科大学附属脑科医院神经外科,210029

出　　处：《临床神经外科杂志》2004年第1期16-18,共3页Journal of Clinical Neurosurgery

基　　金：国家"十五"科技攻关课题资助项目(2001BA703818)

摘　　要：目的研究颅内动脉瘤栓塞治疗的并发症,分析其发生原因、预防措施及处理方法。方法对84例颅内动脉瘤进行栓塞治疗,微导管选用Tracker、Excel或Prowler系列,栓塞剂选用GDC或EDC。结果术中发生血管痉挛、血栓形成8例,动脉瘤破裂2例,弹簧圈落入载瘤动脉4例。无死亡。结论娴熟的微导管技术和术前仔细研究动脉瘤结构是减少术中并发症的关键。Objective To discuss the complications of the intracranial aneurysms embolization and management. Methods 84 patients with intracranial aneurysms were treated by embolization. The microcatheter is Tracker, Excel or Prowler. The coil is GDC or EDC. Rusults The cerebral vascular spasm,aneurysm rupture and escaping of coil were occurred respectively in eight, two and four cases during operation. No died. Conclusion The complications should be reduced by using skillful technique of microcathetering and studying the angioarchitectures of the aneurysm before embolization.

关 键 词：颅内动脉瘤 栓塞 并发症 

分 类 号：R743.4[医药卫生—神经病学与精神病学]