Lindvall Peter, Borota Ljubisa, Birgander Richard, Jonasson Per, Ridderheim Per-Åke
Department of Neurosurgery, Umeå University Hospital, Umeå, Sweden.
Vasc Endovascular Surg. 2012 May;46(4):325-8. doi: 10.1177/1538574412445602. Epub 2012 Apr 27.
Our aim was to evaluate the long-term treatment results in patients with intracranial aneurysms treated with endovascular techniques.
Forty-four patients treated due to intracranial aneurysms between 1996 and 2002 were investigated with a time-of-flight sequence magnetic resonance angiography (TOF MRA).
Depending on the assessment, 47% to 51% of the treated aneurysms had a residual neck at the last digital subtraction angiography follow-up. There was filling of the aneurysm base (2%) in only 1 patient, whereas the remaining aneurysms were totally occluded. A TOF MRA performed 6 to 14 (mean 9.68) years after the last procedure showed a stable result in 93.9% of the treated aneurysms. There were no de novo aneurysms and previously untreated aneurysms were unchanged in size.
Our long-term follow-up showed a stable result in previously coiled intracranial aneurysms.
我们的目的是评估采用血管内技术治疗颅内动脉瘤患者的长期治疗效果。
对1996年至2002年间因颅内动脉瘤接受治疗的44例患者进行了时间飞跃序列磁共振血管造影（TOF MRA）检查。
根据评估，在最后一次数字减影血管造影随访时，47%至51%的治疗动脉瘤有残余颈部。仅1例患者的动脉瘤底部有造影剂充盈（2%），其余动脉瘤完全闭塞。在最后一次手术后6至14年（平均9.68年）进行的TOF MRA显示，93.9%的治疗动脉瘤结果稳定。没有新发动脉瘤，先前未治疗的动脉瘤大小未变。
我们的长期随访显示，先前接受弹簧圈栓塞治疗的颅内动脉瘤结果稳定。
