摘要
目的回顾分析19例后循环动脉瘤血管内治疗结果,探讨颅内后循环动脉瘤的介入治疗方法和安全性。方法 19例患者中15例表现为蛛网膜下隙出血,均为急性期;2例表现为搏动性头痛经CTA检查发现,2例表现为共济障碍,后组颅神经症状。其中10例采用GDC栓塞治疗,7例采用Neuform支架结合GDC治疗,2例椎动脉小宽颈动脉瘤采用单纯Neuform支架瘤颈成形术。结果本组无并发症及死亡患者。100%栓塞12例9,0%栓塞5例2,例椎动脉小宽颈动脉瘤单纯行支架成形术,7例复查脑血管造影,显示载瘤动脉通畅,动脉瘤无复发,2例单纯支架成形患者两个月后复查动脉瘤消失。结论血管内治疗是治疗后循环动脉瘤的安全有效的措施,对于宽颈动脉瘤应采用球囊辅助或支架成形栓塞以提高栓塞率。
Objective To analyse retrospectively the effect of 19 cases who had posterior circulation aneurysms and were treated with Endovascular therapy,and to discuss the technique and safety of endovascular therapy in posterior circulation aneurysms.Methods 15 patients showed subarachnoid hemorrhage,all were in acute stage.2 cases showed pulsatile headache and was diagnosed by CTA.2 patients manifested dystaxia and symptoms of lower cranial nerves.10 patients were treated with coiling.7 patients with Neuroform stent assisted coiling.2 patients had small wide-neck aneurysm of vertebral artery were with Neuroform stent.Results None cases was dead and had complications after operation.12 patients received complete occlusion,5 patients received 90% occlusion.2 patients had small wide-neck aneurysm of vertebral artery were treated with stent.DSA was performed in 7 patients,there was no recurrence.2 patients solo-treated with stent was followed up with DSA 2 months latier,and the aneurysm disappeared.Conclusion Endovascular therapy is a valuable and safe method for treatment of posterior circulation aneurysms,balloon remodeling and stent assistant embolization should be performed in wide-necked aneurysms.
出处
《四川医学》
CAS
2011年第9期1326-1327,共2页
Sichuan Medical Journal
基金
四川省卫生厅科研资助项目(编号:100352)
攀枝花市级应用技术研究与开发资金项目[编号:2010CY-S-1(3)]
关键词
颅内动脉瘤
后循环
血管内治疗
intracranial aneurysm
posterior circulation
endovascular therapy
