[Endovascular treatment of posterior cerebral artery aneurysm: analysis of 21 patients].
作者信息
Li You-xiang, Liu Ai-hua, Lü Ming, Jiang Chu-han, Zhang You-ping, Yang Xin-jian, Zhang Jing-bo, Jiang Peng, Wu Zhong-xue, Wang Zhong-cheng
机构信息
Beijing Neurosurgical Institute, Beijing 100050, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2006 Aug 8;86(29):2033-6.
OBJECTIVE
To investigate the effect of endovascular treatment on posterior cerebral artery (PCA) aneurysm.
METHODS
The clinical data of 21 patients with PCA aneurysm, 12 males and 9 females, aged 3 - 60, totally 22 aneurysms, 3 located in the P1 segment, 16 (in 15 patients) on the P2 segment, and 3 being serpentine aneurysms and involving P2-3 segment, were analyzed. One patients gave up treatment, 6 patients, with 7 aneurysms, underwent aneurysm sac occlusion, and 14 patients underwent parent vessel occlusion.
RESULTS
Complete aneurysm sac occlusion was achieved in 5 patients with 6 aneurysms, and incomplete occlusion was achieved in 1 patient who died of bleeding of aneurysm the next day after the operation. All 14 patients undergoing parent vessel occlusion survived without aneurysm detected by angiography, among which 3 presented hemianesthesia of the contralateral side and 2 recovered completely.
CONCLUSION
Endovascular treatment is safe and effective for PCA aneurysm.
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