与脑动静脉畸形相关的动脉瘤：58例患者的超选择性血管造影评估
Aneurysms related to cerebral arteriovenous malformations: superselective angiographic assessment in 58 patients.
作者信息
Turjman F, Massoud T F, Viñuela F, Sayre J W, Guglielmi G, Duckwiler G
机构信息
Endovascular Therapy Service, University of California Los Angeles Medical Center.
出版信息
AJNR Am J Neuroradiol. 1994 Oct;15(9):1601-5.
PURPOSE
To report the comprehensive superselective angiographic characteristics of aneurysms associated with cerebral arteriovenous malformations.
METHOD
One hundred consecutive patients referred for cerebral arteriovenous malformation embolization underwent preembolization superselective angiography. Superselective angiograms were obtained after microcatheterization of arteriovenous malformation pedicles, and assessed for number and location of aneurysms related to the malformation. A chi 2 test was conducted to correlate these parameters with the onset of intracranial hemorrhage.
RESULTS
Aneurysms were demonstrated in 58 of 100 patients. Single aneurysms were found in 24 patients and multiple aneurysms in 34. Presence and number of aneurysms were found to correlate significantly with a clinical presentation of hemorrhage.
CONCLUSION
Superselective angiography was found to be of paramount importance in elucidating the precise and detailed angioarchitecture of brain arteriovenous malformations.
目的
报告与脑动静脉畸形相关动脉瘤的综合超选择性血管造影特征。
方法
100例连续接受脑动静脉畸形栓塞治疗的患者在栓塞前接受了超选择性血管造影。在微导管插入动静脉畸形蒂后获得超选择性血管造影片，并评估与畸形相关动脉瘤的数量和位置。进行卡方检验以将这些参数与颅内出血的发生相关联。
结果
100例患者中有58例显示有动脉瘤。24例患者发现单个动脉瘤，34例患者发现多个动脉瘤。发现动脉瘤的存在和数量与出血的临床表现显著相关。
结论
发现超选择性血管造影在阐明脑动静脉畸形的精确和详细血管结构方面至关重要。
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