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近期破裂颅内动脉瘤的栓塞治疗

Embolisation of recently ruptured intracranial aneurysms.

作者信息

Byrne J V, Molyneux A J, Brennan R P, Renowden S A

机构信息

Department of Neuroradiology, Radcliffe Infirmary, Oxford, UK.

出版信息

J Neurol Neurosurg Psychiatry. 1995 Dec;59(6):616-20. doi: 10.1136/jnnp.59.6.616.

DOI:10.1136/jnnp.59.6.616
PMID:7500100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1073757/
Abstract

Patients with subarachnoid haemorrhage due to the rupture of aneurysms unsuitable for craniotomy and clipping have been treated by coil embolisation within three weeks. Sixty nine of 75 consecutive patients were successfully treated. Procedure related complications occurred in 10 patients, resulting in permanent neurological deficits in three and one death (4.8%). The Glasgow outcome scores at six weeks were 53 grade 1, seven grade 2, four grade 3, and five grade 5. These results are comparable with surgical series despite a high proportion of aneurysms in the posterior cerebral circulation.

摘要

因动脉瘤破裂导致蛛网膜下腔出血且不适宜开颅夹闭手术的患者,已在三周内接受了弹簧圈栓塞治疗。75例连续患者中有69例成功接受治疗。10例患者出现了与手术相关的并发症,导致3例永久性神经功能缺损和1例死亡(4.8%)。六周时的格拉斯哥预后评分分别为:53例1级,7例2级,4例3级,5例5级。尽管大脑后循环中的动脉瘤比例很高,但这些结果与手术系列结果相当。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f08b/1073757/5c7c5bbf00d0/jnnpsyc00024-0054-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f08b/1073757/d5e12eae6ecb/jnnpsyc00024-0054-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f08b/1073757/5c7c5bbf00d0/jnnpsyc00024-0054-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f08b/1073757/d5e12eae6ecb/jnnpsyc00024-0054-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f08b/1073757/5c7c5bbf00d0/jnnpsyc00024-0054-b.jpg

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