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前交通动脉瘤合并蛛网膜下腔出血和脑出血患者的动脉瘤弹簧圈栓塞术及立体定向血肿抽吸术

Coil Embolization of Aneurysm Followed by Stereotactic Aspiration of Hematoma in a Patient with Anterior Communicating Artery Aneurysm Presenting with SAH and ICH.

作者信息

Kim Sung-Ho, Yoon Seok-Mann, Shim Jai-Joon, Bae Hack-Gun

机构信息

Department of Neurosurgery, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea.

出版信息

J Korean Neurosurg Soc. 2008 Jan;43(1):41-4. doi: 10.3340/jkns.2008.43.1.41. Epub 2008 Jan 20.

DOI:10.3340/jkns.2008.43.1.41
PMID:19096545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2588157/
Abstract

Even though intracerebral hematoma (ICH) due to ruptured cerebral aneurysm has been treated by aneurysm clipping at the same time of removal of ICH through craniotomy, such management strategy is controversial in an aged patients with poor clinical grade. In this regards, stereotactic aspiration of hematoma following coil embolization can be an alternative treatment modality. Thus, the authors report a case of an aged patient who underwent stereotactic aspiration of ICH following coil embolization for the ruptured aneurysm with a brief review of literature.

摘要

尽管因脑动脉瘤破裂导致的脑内血肿（ICH）已在通过开颅手术清除ICH的同时进行了动脉瘤夹闭术，但这种治疗策略在临床分级较差的老年患者中存在争议。在这方面，线圈栓塞后立体定向血肿抽吸术可能是一种替代治疗方式。因此，作者报告了一例老年患者，该患者在对破裂动脉瘤进行线圈栓塞后接受了ICH立体定向抽吸术，并对相关文献进行了简要回顾。

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Coil Embolization of Aneurysm Followed by Stereotactic Aspiration of Hematoma in a Patient with Anterior Communicating Artery Aneurysm Presenting with SAH and ICH.前交通动脉瘤合并蛛网膜下腔出血和脑出血患者的动脉瘤弹簧圈栓塞术及立体定向血肿抽吸术
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引用本文的文献

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Ruptured Anterior Communicating Artery Aneurysms Concomitant with Small Intracranial Hematoma: Evacuating Hematoma or Not?伴有小颅内血肿的前交通动脉动脉瘤破裂：是否清除血肿？
Neuropsychiatr Dis Treat. 2023 Aug 23;19:1833-1840. doi: 10.2147/NDT.S422692. eCollection 2023.
2
A Less Invasive Strategy for Ruptured Cerebral Aneurysms with Intracerebral Hematomas: Endovascular Coil Embolization Followed by Stereotactic Aspiration of Hematomas Using Urokinase.一种针对伴有脑内血肿的破裂脑动脉瘤的微创策略：血管内弹簧圈栓塞术联合使用尿激酶的立体定向血肿抽吸术
J Cerebrovasc Endovasc Neurosurg. 2017 Jun;19(2):81-91. doi: 10.7461/jcen.2017.19.2.81. Epub 2017 Jun 30.

本文引用的文献

1
A less invasive approach for ruptured aneurysm with intracranial hematoma: coil embolization followed by clot evacuation.一种针对伴有颅内血肿的破裂动脉瘤的侵入性较小的方法：先进行弹簧圈栓塞，然后清除血凝块。
Korean J Radiol. 2007 Jan-Feb;8(1):2-8. doi: 10.3348/kjr.2007.8.1.2.
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Extravasation of intracranial aneurysm during computed tomography angiography: mimicking a blood vessel.
J Comput Assist Tomogr. 2005 Sep-Oct;29(5):677-9. doi: 10.1097/01.rct.0000176015.75169.12.
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One-stage embolization in patients with acutely ruptured poor-grade aneurysm.急性破裂的低级别动脉瘤患者的一期栓塞治疗。
Surg Neurol. 2005 Feb;63(2):149-54; discussion 154-5. doi: 10.1016/j.surneu.2004.03.021.
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Acute endovascular treatment of ruptured aneurysms in poor-grade patients.低级别患者破裂动脉瘤的急性血管内治疗
Neuroradiology. 2004 Feb;46(2):161-4. doi: 10.1007/s00234-003-1143-5. Epub 2003 Dec 20.
5
Poor-grade aneurysmal subarachnoid hemorrhage: outcome after treatment with urgent surgery.
Neurosurgery. 2003 Dec;53(6):1275-80; discussion 1280-2. doi: 10.1227/01.neu.0000093199.74960.ff.
6
Treatment of intracerebral hematomas caused by aneurysm rupture: coil placement followed by clot evacuation.动脉瘤破裂所致脑内血肿的治疗：先进行弹簧圈置入，然后清除血凝块。
J Neurosurg. 2003 Nov;99(5):843-7. doi: 10.3171/jns.2003.99.5.0843.
7
Aneurysmal subarachnoid hemorrhage in patients with Hunt and Hess grade 4 or 5: treatment using the Guglielmi detachable coil system.Hunt和Hess分级为4级或5级的患者的动脉瘤性蛛网膜下腔出血：使用Guglielmi可脱性弹簧圈系统进行治疗
AJNR Am J Neuroradiol. 2003 Apr;24(4):585-90.
8
Endovascular treatment of Hunt and Hess grade IV and V aneuryms.Hunt和Hess分级IV级和V级动脉瘤的血管内治疗。
AJNR Am J Neuroradiol. 2002 Jun-Jul;23(6):953-7.
9
Extravasation on three-dimensional CT angiography in patients with acute subarachnoid hemorrhage and ruptured aneurysm.急性蛛网膜下腔出血和动脉瘤破裂患者三维CT血管造影中的血管外渗情况。
Neuroradiology. 2002 Jan;44(1):25-30. doi: 10.1007/s002340100689.
10
Early endovascular treatment of ruptured cerebral aneurysms in patients in very poor neurological condition.神经功能状态极差的破裂脑动脉瘤患者的早期血管内治疗
Neurosurgery. 2002 Mar;50(3):457-64; discussion 464-5. doi: 10.1097/00006123-200203000-00005.