基底动脉主干旁及其分支起始部动脉瘤的血管内治疗  

Endovascular treatment of aneurysms arising from basflar artery trunk and branches

作　　者：于金录[1] 许冰[2] 许侃[1] 王宏磊[1] 王柏[2] 罗祺[1] 

机构地区：[1]吉林大学第一医院神经外科,长春130021 [2]吉林大学第一医院放射线科,长春130021

出　　处：《中华神经外科杂志》2012年第7期662-664,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨基底动脉主干旁及其分支起始部动脉瘤的血管内治疗特点及结果。方法动脉瘤病例14例，其中合并其他病变者7例。囊性动脉瘤12例，采用弹簧圈栓塞治疗，保留载瘤动脉，必要时辅以支架或球囊；梭形及夹层动脉瘤2例，栓塞动脉瘤时闭塞载瘤动脉。对于伴随疾病根据术中情况进行处理。结果术后随访1—2年。预后良好者12例，DSA复查未见复发；再出血而死亡者2例。结论对于基底动脉主干旁及其分支起始部动脉瘤应积极进行血管内治疗，以防破裂出血引发严重的后果，若治疗得当可获得较好的效果。Objective To study the therapeutic characteristics and experience about the endovascular treatment of basilar artery （BA） trunk and branch aneurysms. Methods Subjects included 14 patients with BA trunk and branch aneurysms, including 7 patients with associated other diseases. 12 berry aneurysms were given endovascular coil embolization, together with stent or balloon assistance when necessary, meanwhile 2 dissecting and fusiform aneurysms were given parent artery occlusion. Associated diseases were managed intraoperatively, or in the second stage, or treated with gamma knife radiotherapy, or followed up. Results The follow - up period was from 1 to 2 years. Two patients with unsuccessful embolization died of re - rupture at the follow - up. The remaining 12 patients reported good outcomes and experienced no re - rupture of both the aneurysm or associated disease. Angiographic follow - ups were conducted for the 12 patients. Digital subtraction angiography （DSA） examination at the last follow- up showed no recurrence of the BA trunk and branch aneurysms. Conclusions BA trunk and branch aneurysms should be actively managed via endovascular techniques to prevent serious consequences due to aneurysm rupture and bleeding. Favorable outcomes can be obtained by the proper selection of endovascular treatment regimens.

关 键 词：基底动脉 动脉瘤 分支 血管内治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]