未破裂前交通动脉瘤血管内治疗的临床分析  

Clinical analysis of endovascular treatment for unruptured anterior communicating artery aneurysms

作　　者：徐文娟[1] 纪文军[1] 温小龙[1] 冯欣[1] 刘爱华[1] 

机构地区：[1]首都医科大学北京市神经外科研究所首都医科大学附属北京天坛医院神经介入科,100050

出　　处：《中国微侵袭神经外科杂志》2017年第3期97-100,共4页Chinese Journal of Minimally Invasive Neurosurgery

基　　金：北京市自然科学基金(编号:7142032);首都卫生发展科研专项(编号:2014-3-2044)

摘　　要：目的总结未破裂前交通动脉瘤血管内治疗疗效,探讨栓塞方案、并发症及其预防。方法回顾性分析血管内治疗50例未破裂前交通动脉瘤病人的临床资料,并进行影像学和临床随访。结果术中动脉瘤破裂1例,术中血管痉挛1例。术后即刻造影Raymond 1级栓塞44例,Raymond 2级栓塞6例。31例行DSA随访(34.5±7)个月,复发(Raymond 3级)2例;50例临床随访(49±10.9)个月,术后偏瘫1例。结论前交通动脉瘤破裂风险较高,血管内栓塞未破裂前交通动脉瘤是一种微创、相对安全、有效的干预方法。Objective To summarize the therapeutic effect of endovascular treatment for unruptured anterior communicating artery aneurysms, and explore the methods for endovascular treatment, complications and prevention of complications. Methods Clinical data of 50 patients with unruptured anterior communicating artery aneurysms undergoing endovascular treatment were analyzed retrospectively. Imaging and clinical follow-up were performed in all the patients. Results The ruptured aneurysm and vascular spasm occurred in 1 patient respectively during operation. Raymond grade 1 was achieved in 44 patients and grade 2 in 6 according to instant imaging results after the operation. Thirty-one patients were followed up by DSA for 34.5 ± 7 months, and aneurysm recurred in 2 patients. Clinical follow-up was performed for 49 ± 10.9 months in 50 patients, and hemiplegia occurred after operation in 1 patient. Conclusions Anterior communicating artery aneurysm has a high risk of rupture. Endovascular embolization of unruptured anterior communicating artery aneurysms is a minimally invasive, relatively safe and effective intervention method.

关 键 词：颅内动脉瘤 前交通动脉 血管内治疗 

分 类 号：R651.12[医药卫生—外科学]