Department of Neurosurgery, Queen Mary Hospital, Pokfulam, Hong Kong.
Hong Kong Med J. 2009 Dec;15(6):482-5.
Thromboembolic events are known complications of endovascular coiling of intracerebral aneurysms. We report a case of a 50-year-old patient whose ruptured middle cerebral artery aneurysm was treated with endovascular coiling, which was complicated by occlusion of the inferior M2 trunk during the procedure. An emergency craniotomy was performed to enable coil retrieval, evacuation of the thrombus and clipping of the aneurysm. All the middle cerebral artery branches were recanalised and the patient recovered with no neurological deficits. Our experience suggests that an emergency salvage operation for thrombosis after endovascular coiling is a treatment option offering a good clinical outcome.
血栓栓塞事件是颅内动脉瘤血管内弹簧圈栓塞术已知的并发症。我们报告了一例 50 岁患者，其破裂的大脑中动脉动脉瘤采用血管内弹簧圈栓塞术治疗，在手术过程中中下 M2 干闭塞。紧急开颅术用于取出线圈、清除血栓和夹闭动脉瘤。所有大脑中动脉分支均再通，患者恢复良好，无神经功能缺损。我们的经验表明，血管内弹簧圈栓塞术后血栓形成的紧急抢救手术是一种治疗选择，可获得良好的临床结果。
