血管内介入治疗椎动脉夹层动脉瘤的临床研究  

Clinical research of endovascular treatment of vertebral artery dissecting aneurysms

作　　者：陈明辉[1] 李瑞岩[1] 李永利[1] 

机构地区：[1]哈尔滨医科大学附属第二医院神经外科,150086

出　　处：《临床外科杂志》2012年第5期328-330,共3页Journal of Clinical Surgery

基　　金：黑龙江省卫生厅科研课题（2007-313）

摘　　要：目的 探讨血管内介入治疗椎动脉夹层动脉瘤的安全性与有效性.方法 回顾性分析30例患者30个夹层动脉瘤行血管内介入治疗的临床资料,其中8例单纯弹簧圈栓塞,10例支架辅助弹簧圈栓塞,3例单支架置入,9例载瘤动脉闭塞.结果 术后对30例中的22例进行随访脑血管造影,随访时间为1～8个月,平均6个月.其中17例完全栓塞患者无复发;近完全栓塞3例中2例动脉瘤稍增大,部分栓塞2例动脉瘤复发,这4例患者均行二次手术,其中3例行支架置入,1例行动脉瘤栓塞.结论 血管内介入治疗椎动脉夹层动脉瘤是一种安全有效的方法.Objective To explore the safety and efficacy of endovascular treatment of vertebral artery dissecting aneurysms. Methods Data of 30 aneurysms in 30 patients receiving endovaseutar management were retrospectively analyzed. Among them,8 were embolized with coil, 10 treated with stent- assistant coil embolization, 9 treated with parent artery occlusion, and 3 patients were managed with sole stent. Results Twenty two patients with angiography in 30 cases were followed up for 1 - 8 months, averaging 6 months. No recurrence occurred in 17 cases of complete thrombosis. Aneurysms were slightly in- creased in 2 out of 3 cases of nearly complete thrombosis, and recurred in 2 cases of partial embolism. These 4 patients underwent second operation, of which 3 received routine stent placement, and one received routine aneurysm embolization. Conclusion Endovascular treatment of vertebral artery dissection is a safe and effective method.

关 键 词：血管内治疗 椎动脉 夹层动脉瘤 

分 类 号：R543.5[医药卫生—心血管疾病]