未破裂颅内动脉瘤单纯弹簧圈栓塞后是否需要行头部 CT 检查？
Is a head CT necessary after uncomplicated coiling of unruptured intracranial aneuryms?
机构信息
UPMC Stroke Institute, Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA.
出版信息
J Neuroimaging. 2013 Apr;23(2):185-6. doi: 10.1111/j.1552-6569.2011.00683.x. Epub 2012 Jan 13.
UNLABELLED
In this study, we sought to determine whether routine head computed tomographies (CTs) after uncomplicated coil embolization of intracranial aneurysms can add any significant clinical value.
METHODS
We retrospectively reviewed the medical records of 139 patients with unruptured aneurysms who underwent 150 elective coiling procedures between January 2008 and June 2010. A total of 6 head CTs were obtained emergently after intraprocedural complications and 122 head CTs were obtained routinely after uncomplicated coil embolization of intracranial aneurysms.
RESULTS
The 122 head CTs that were obtained routinely after uncomplicated coil embolization of unruptured intracranial aneurysms did not show any acute or subacute changes.
CONCLUSION
A head CT after uncomplicated coil embolization of an intracranial aneurysm does not add any significant clinical value and should not be ordered routinely.
目的
本研究旨在确定颅内动脉瘤单纯弹簧圈栓塞术后常规进行头部计算机断层扫描（CT）是否具有重要的临床价值。
方法
回顾性分析 2008 年 1 月至 2010 年 6 月期间 139 例未破裂颅内动脉瘤患者的病历资料，共行 150 例择期弹簧圈栓塞术。术中出现并发症后共进行了 6 次紧急头部 CT 检查，122 次头部 CT 检查是在颅内动脉瘤单纯弹簧圈栓塞术后无并发症的情况下常规进行的。
结果
在未破裂颅内动脉瘤单纯弹簧圈栓塞术后进行的 122 次常规头部 CT 检查未显示出任何急性或亚急性变化。
结论
颅内动脉瘤单纯弹簧圈栓塞术后的头部 CT 检查没有增加任何显著的临床价值，不应该常规进行。
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