破裂性前交通动脉瘤的血管内治疗。结果与技术考量。
Endovascular treatment of ruptured anterior communicating artery aneurysms. Results and technical considerations.
作者信息
Nakai Y, Sonobe M, Kato N, Okamoto S, Nakamura K, Sugita K
机构信息
Department of Neurosurgery, National Hospital Organization, Mito Medical Center; Ibaraki, Japan -
出版信息
Interv Neuroradiol. 2006 Jan 20;12(Suppl 1):61-6. doi: 10.1177/15910199060120S108. Epub 2006 Jun 15.
The aim of this paper is to provide a review of our experience in using the endovascular treatment of ruptured anterior communicating artery (ACoA) aneurysms. Between March 1997 and May 2004, 211 ruptured aneurysms were treated with Guglielmi detachable coil (GDC) system in Mito Medical Center, 73 were located at the ACoA.Two cases were incomplete embolization, and performed microsurgical clipping. In the initial embolization for the 71 aneurysms, complete occlusion was achieved in 44 aneurysms, neck remnant in 11 aneurysms and body filling in 16 aneurysms. Intra-operative complication was occurred in six cases (8.2%). Aneurysm perforation was occurred in three cases (4.1%), thromboembolic complication was occurred in three cases (4.1%). Acute rebleeding were observed in two cases (2.7%). Endovascular treatment is an effective technique for treating ACoA aneurysms, and 3D-rotational angiography is important diagnostic tool for evaluating the ACoA complex.
本文旨在回顾我们使用血管内治疗破裂前交通动脉（ACoA）动脉瘤的经验。1997年3月至2004年5月间，水户医疗中心使用 Guglielmi 可脱卸弹簧圈（GDC）系统治疗了211例破裂动脉瘤，其中73例位于ACoA。2例栓塞不完全，行显微手术夹闭。在对71例动脉瘤的初始栓塞中，44例实现完全闭塞，11例有颈部残留，16例有瘤体填充。术中并发症发生6例（8.2%）。动脉瘤穿孔3例（4.1%），血栓栓塞并发症3例（4.1%）。观察到急性再出血2例（2.7%）。血管内治疗是治疗ACoA动脉瘤的有效技术，三维旋转血管造影是评估ACoA复合体的重要诊断工具。
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