血管内栓塞破裂性前交通动脉瘤和术前影像学评估  

Endovascular embolization for ruptured anterior communicating artery aneurysm and radiological evaluation before procedure

作　　者：陆川[1] 陈献东[1] 蔡建勇[1] 陈茂华[1] 巴华君[1] 林建虎[1] 

机构地区：[1]温州市第二人民医院神经外科脑血管病介入诊治中心,浙江省325000

出　　处：《中华脑血管病杂志（电子版）》2011年第3期20-22,共3页Chinese Journal of Cerebrovascular Diseases(Electronic Edition)

摘　　要：目的总结46例破裂性前交通动脉瘤血管内治疗的经验和体会,探讨术前影像学分析对手术安全性的影响。方法经血管内途径,采用可脱性弹簧圈对46例破裂性前交通动脉瘤患者行栓塞治疗,术中8例患者采用双微导管技术动脉瘤栓塞,2例采用支架辅助栓塞。结果本组46例患者中,32例栓塞程度>95%,11例栓塞程度95%,2例栓塞程度90%,1例栓塞程度约80%。42例患者术后恢复良好,无任何神经功能缺失。1例患者术后一侧大脑前动脉栓塞,1例术后呈植物生存状态。术后死亡2例。结论通过术前的影像学评估分析来指导前交通动脉瘤的栓塞,避免了盲目性,减少了并发症的发生,使本组弹簧圈栓塞前交通动脉瘤效果满意。Objective To summarize the treatment experience of endovascular embolization for ruptured anterior communicating artery aneurysms,and discuss radiological evaluation before procedure.Methods 46 patients of anterior communicating artery aneurysms were treated with endovascular embolization between August 2006 and January 2011.8 cases embolized aneurysms with coils through two microcatheters and 2 cases with the stent-assisted coiling technique.Results Embolization was successfully performed in all patients.Complete occlusion was achieved in 32 patients,95% occlusion in 11 patients,90% occlusion in 2 patients,and 80%occlusion in 1 patient.42 patient recovered successfully,1 patient demonstrated infarction at monolateral anterior cerebral artery,1 patient demonstrated persistent vegetative state and 2 patients died.Conclusions Endovascular embolization is safe and effective in treating ruptured anterior communicating artery aneurysm by guided with radiological evaluation before procedure,decrease the complications and improve the future outcome.

关 键 词：前交通动脉瘤 血管内栓塞 

分 类 号：R743.3[医药卫生—神经病学与精神病学]