椎动脉血管内闭塞治疗后循环巨大动脉瘤  

Vertebral artery occlusion in the treatment of posterior circulation giant aneurysms

作　　者：戴黎萌[1] 陈东[1] 赵永阳[1] 陈建良[1] 吴耀晨[1] 徐如祥[2] 

机构地区：[1]暨南大学医学院第二附属医院深圳市人民医院神经外科,深圳518020 [2]南方医科大学附属珠江医院神经外科,广州510282

出　　处：《中华神经医学杂志》2005年第5期469-470,共2页Chinese Journal of Neuromedicine

摘　　要：目的对椎动脉血管内闭塞治疗后循环不可夹闭动脉瘤疗效进行评价。方法用血管内球囊或弹簧圈闭塞椎动脉治疗9例颅内后循环不可夹闭动脉瘤。结果血管内闭塞近端椎动脉可使动脉瘤完全闭塞,神经受压和占位症状逐步改善、消失。3例经MRI追踪检查的病例显示动脉瘤明显缩小或完全消失。结论血管内椎动脉闭塞治疗后循环不可夹闭动脉瘤是一种有效、安全的治疗方法。Objective To evaluate the therapeutic effect of vertebral art ery occlusion for the posterior circulation unclipped aneurysms. Methods 9 patients with posterior circulation intracranial unclipped aneurysms were treat ed with detachable balloons or GDCs to occlude proximal vertebral artery of aneu rysms. Results The aneurysms were occluded and the space-occupying lesions disappeared in all the cases. 3 cases were followed up with MRI that showed ane urysms got smaller or disappeared. Conclusion The vertebral artery occlusion with balloon or GDCs is an effective and safe method in treating posterior circ ulation intracranial unclipped aneurysms.

关 键 词：血管内闭塞 椎动脉 后循环动脉瘤 

分 类 号：R739.4[医药卫生—肿瘤]