颅内动脉瘤介入治疗术中常见意外情况的预防及处理  

Endovascular therapy for intracraniai aneurysms： prevention and treatment for complications

作　　者：梁国标[1] 李志清[1] 韩松[1] 熊剑[1] 于春泳[1] 唐新华[1] 

机构地区：[1]沈阳军区总医院神经外科,辽宁沈阳110016

出　　处：《中华神经外科杂志》2008年第3期163-165,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨颅内动脉瘤介入治疗过程中并发症的发生原因及预防和处理方法。方法总结469例行血管内治疗的颅内动脉瘤患者临床信息，并对19例介入治疗术中发生并发症的颅内动脉瘤资料进行分析，对存活患者进行随访。结果19例发生并发症的患者，经积极治疗完全康复14例，2例轻残，1例重残，2例死亡。结论血管内治疗是治疗颅内动脉瘤的安全、有效的方法，选择合适手术时机、熟练掌握微导管技术和术中、术后的积极处理是减少血管内治疗并发症及其危害的关键。Objective To discuss the cause of complications of intracranial aneurysm during endovascular therapy procedure and to find out the methods to prevent and treat these complications. Method Clinical data of 469 intracranial aneurysmal patients who were treated with endovascular therapy was analyzed retrospectively, pre-, during and post-procedure images at patients who suffered complications were evaluated and alive patients were followed up. Results The outcome result showed that recovered totally at 14 patients, disabled at 3 patients, died at 2 patients. Conclusions Endovascular treatment is safe and effective for intracranial aneurysms. Good timing, proficiency of microcatheter technique, and positive handling can reduce complications and its harm.

关 键 词：颅内动脉瘤 血管内治疗 并发症 

分 类 号：R686[医药卫生—骨科学]