微小破裂前交通动脉瘤的血管内栓塞治疗  

Endovascular embolization of tiny ruptured anterior communicating artery aneurysms

作　　者：于加省[1] 何跃[1] 陈如东[1] 郭强[1] 李振强[1] 陈劲草[1] 陈坚[1] 雷霆[1] 李龄[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院神经外科,武汉430030

出　　处：《中华神经外科杂志》2011年第9期910-913,共4页Chinese Journal of Neurosurgery

基　　金：武汉市科技局科技攻关计划重点基金资助项目（200960323130）

摘　　要：目的总结应用血管内技术治疗微小破裂前交通动脉瘤的经验和体会。方法回顾性分析应用血管内栓塞治疗的22例破裂的微小前交通动脉瘤患者的临床资料、栓塞过程以及结果。结果22例全部成功栓塞，每个动脉瘤应用1～3个弹簧圈，平均2个。18例完全栓塞，3例95％栓塞，1例瘤颈残留。术中未发生动脉瘤破裂出血。10例影像学复查未见动脉瘤复发。结论选择合适的病例，血管内栓塞可以安全有效地治疗破裂的微小前交通动脉瘤。Objective To summarize the experience of endovascular treatment of tiny ruptured anterior communicating artery anenrysms and discuss the technical points of procedure and complications. Method The clinical data of 22 cases with tiny ruptured anterior communicating artery aneurysms which treated with endovascular embolization between January 2009 and December 2010 was retrospectively analyzed. Results Endovascular embolization was successfully performed in all patients. 1 to 3 coils were used in each aneurysm. Complete obliteration of aneurysm was achieved in 18 aneurysms, near complete in 3 aneurysms, 1 aneurysm with neck remnant. During the operation, there were no aneurysm perforations or any other treatment - related complications. Follow - up with DSA or CTA in 10 patients demonstrated no recanalization of the aneurysm. No rebleeding was found in clinical follow - up. Conclusions Endovascular embolization of tiny ruptured anterior communicating artery aneurysms is relatively safe and effective in selected cases.

关 键 词：颅内动脉瘤 弹簧圈 栓塞 

分 类 号：R651.1[医药卫生—外科学]