Aoyagi N, Hayakawa I
Department of Neurosurgery, Bokuto Municipal Hospital of Metropolitan Tokyo, Japan.
Acta Neurochir (Wien). 1989;98(3-4):141-7. doi: 10.1007/BF01407340.
We analyzed 70 patients (64 from the literature and 6 of our own cases) who had suffered from rerupture of their aneurysms during angiography. When these cases are compared with those who had suffered rupture of their aneurysms only once and a rerupture, which did not coincide with angiography, they were clinically distinguished by a higher Hunt-Hess grade, a higher rate of IC aneurysms, less operability, far miserable outcome and concentration of aneurysmal rerupture within three hours after the initial subarachnoid haemorrhage. It is suggested waiting at least 3 hours after SAH before performing angiography and to use digital subtraction angiography in order to prevent aneurysmal rerupture during angiography.
我们分析了70例在血管造影期间动脉瘤再破裂的患者（64例来自文献，6例为我们自己的病例）。当将这些病例与仅发生过一次动脉瘤破裂以及与血管造影无关的再破裂的病例进行比较时，它们在临床上的区别在于Hunt-Hess分级更高、颅内动脉瘤发生率更高、可手术性更低、预后极差以及在初次蛛网膜下腔出血后三小时内动脉瘤再破裂集中发生。建议在蛛网膜下腔出血后至少等待3小时再进行血管造影，并使用数字减影血管造影，以防止血管造影期间动脉瘤再破裂。
