前交通动脉瘤破裂介入治疗  

Emergent interventional treatment of ruptured anterior communicating artery aneurysm

作　　者：刘一之[1] 金泳海[1] 朱晓黎[1] 邹建伟[1] 

机构地区：[1]苏州大学附属第一医院介入科,215006

出　　处：《江苏医药》2005年第8期561-562,F0002,共3页Jiangsu Medical Journal

基　　金：江苏省卫生厅"135"工程资助课题(36RC2002036)

摘　　要：目的研究前交通动脉瘤破裂急性期微导管栓塞术的临床应用价值。方法对21例前交通动脉瘤破裂急性期的患者采用微导管技术进行动脉瘤腔栓塞术,针对手术成功率、术后再出血发生率、患者恢复情况以及6个月随访情况进行评估。结果21例患者接受了栓塞术,共栓塞前交通动脉瘤21个。手术成功率100%,致密填塞率80.95%,术后再出血1例,死亡1例。结论前交通动脉瘤急性期微导管栓塞术可有效降低急性期动脉瘤二次出血发生率。Objective To evaluate the clinical significane of endovascular embolization in acute stage of ruptured anterior communicating artery aneurysm. Methods In 21 patients, GDC were used to embolize the ruptured anterior communicating artery aneurysm via endovascular approach during acute stage. 15 patients were followed-up for 6 months. Mortality,rebleeding rate and recovery state were observed. Results 21 cases were embolized with GI）C successfully. 80.95% of the patients （17/21） achieved more than 95 % occlusion. One patient rebled on the third day after embolization and died finally. Conclusion Emergent endovascular embolization in ruptured anterior communicating artery aneurysm can reduce the mortality and rebleeding rate of aneurysrm.

关 键 词：前交通动脉瘤破裂 介入治疗 微导管栓塞术 全脑血管造影 

分 类 号：R732.21[医药卫生—肿瘤]