Zhou Tengfei, Li Tianxiao, Zhu Liangfu, Wang Ziliang, Bai Weixing, Xue Jiangyu, Feng Guang
Department of Cerebrovascular, Center of the Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Weiwu Road No. 7, Zhengzhou, NC, 450003, China.
Cardiovasc Intervent Radiol. 2018 Sep;41(9):1399-1403. doi: 10.1007/s00270-018-1945-9. Epub 2018 May 22.
This study aimed to investigate the safety of endovascular thrombectomy in acute ischemic stroke with preexisting intracranial aneurysms.
Patients with acute ischemic stroke due to large-artery occlusion combined with intracranial aneurysms, who received endovascular treatment, were analyzed retrospectively, and the procedure-related data were recorded.
Among the 124 patients who suffered acute large-artery occlusion and received endovascular recanalization therapy, intracranial aneurysms were found in seven patients (5.6%). All the seven patients achieved successful recanalization, except one patient who suffered subarachnoid hemorrhage due to the rupture of aneurysm during the procedure.
The prevalence of preexisting cerebral aneurysms in patients with acute ischemic stroke is high, leading to a procedure-related rupture risk. Endovascular treatment devices must be used carefully in these patients, especially when the aneurysms are located within the area where the procedure is performed.
本研究旨在探讨血管内血栓切除术治疗合并颅内动脉瘤的急性缺血性卒中的安全性。
回顾性分析接受血管内治疗的因大动脉闭塞合并颅内动脉瘤导致急性缺血性卒中的患者，并记录相关手术数据。
在124例发生急性大动脉闭塞并接受血管内再通治疗的患者中，7例（5.6%）发现颅内动脉瘤。除1例患者在手术过程中因动脉瘤破裂发生蛛网膜下腔出血外，其余7例患者均成功实现再通。
急性缺血性卒中患者中颅内动脉瘤的患病率较高，导致与手术相关的破裂风险。在这些患者中必须谨慎使用血管内治疗设备，尤其是当动脉瘤位于手术操作区域内时。
