颅内动脉瘤血管内栓塞术中破裂：神经外科医生的经验及文献复习。
Intra procedure rupture of intracranial aneurysm during endovascular coiling: neurosurgeons' experience and review of the literature.
机构信息
Department of Neurosurgery, G B Pant Hospital, New Delhi, India.
出版信息
Neurol India. 2011 Sep-Oct;59(5):690-5. doi: 10.4103/0028-3886.86542.
OBJECTIVE
The aim of this study was to determine the incidence, risk factors and outcome of intra procedure rupture (IPR) during endovascular coiling of intracranial aneurysms, a neurosurgeons' experience.
MATERIALS AND METHODS
The frequency of IPR was studied in 168 aneurysms treated by endovascular coiling in 150 consecutive patients. Aneurysm size, morphology, history of previous subarachnoid hemorrhage (ruptured) and timing of treatment after subarachnoid hemorrhage were the data collected for comparison.
RESULTS
Procedure-related rupture during endovascular coiling occurred in five (2.97%) of the 168 aneurysms treated. IPR was the cause for 1.78% treatment-related deaths. Small aneurysm size was the major risk factor for IPR in this series (P < 0.001).
CONCLUSIONS
In this study, the frequency of IPR was similar to the reported frequency in the procedures performed by neurointerventionists.
目的
本研究旨在确定颅内动脉瘤血管内栓塞治疗过程中术中破裂（IPR）的发生率、风险因素和转归，这是神经介入医生的经验。
材料与方法
对 150 例连续患者的 168 个动脉瘤进行血管内栓塞治疗，研究术中破裂的发生率。收集的比较数据包括动脉瘤大小、形态、既往蛛网膜下腔出血（破裂）史和蛛网膜下腔出血后治疗时机。
结果
在 168 个接受治疗的动脉瘤中，有 5 个（2.97%）发生了与操作相关的破裂。IPR 是 1.78%治疗相关死亡的原因。在本系列中，小的动脉瘤大小是 IPR 的主要危险因素（P<0.001）。
结论
在这项研究中，IPR 的频率与神经介入医生进行的手术报告的频率相似。
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