N-丁基-2-氰基丙烯酸酯在术中破裂动脉瘤中的应用作为挽救性治疗：病例报告。
N-Butyl-2-cyanoacrylate use in intraoperative ruptured aneurysms as a salvage rescue: case report.
机构信息
Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
出版信息
Neurosurgery. 2010 Jul;67(1):216-7; discussion 217. doi: 10.1227/01.NEU.0000370014.67631.FF.
OBJECTIVE AND IMPORTANCE
The use of N-butyl-2-cyanoacrylate (n-BCA) acrylic glue as a salvage rescue in procedural ruptured aneurysm should be part of the neurointerventionalist's armamentarium.
CLINICAL PRESENTATION
Two patients, age 44 and 60 years, presented with Hunt and Hess grade 3 subarachnoid hemorrhage from aneurysmal rupture.
INTERVENTION
We report 2 cases in which n-BCA was used effectively as a salvage rescue in aneurysms that ruptured during coil embolization.
CONCLUSION
These 2 cases demonstrate a feasible technique for the salvage of iatrogenic aneurysm perforation during coil embolization, which, to our knowledge, has not been previously reported.
目的和重要性
在经导管破裂动脉瘤的介入治疗中，使用 N-丁基-2-氰基丙烯酸酯（n-BCA）胶作为抢救性治疗手段，应成为神经介入医生治疗方法的一部分。
临床特征
两名患者，年龄分别为 44 岁和 60 岁，均因破裂性动脉瘤出血导致蛛网膜下腔出血，Hunt 和 Hess 分级为 3 级。
介入治疗
我们报告了 2 例使用 n-BCA 胶作为抢救性治疗破裂性动脉瘤的病例，这些动脉瘤在弹簧圈栓塞过程中破裂。
结论
这 2 例病例证明了一种在弹簧圈栓塞过程中发生医源性动脉瘤穿孔时可行的抢救技术，据我们所知，目前尚无相关报道。
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