Casasco A E, Aymard A, Gobin Y P, Houdart E, Rogopoulos A, George B, Hodes J E, Cophignon J, Merland J J
Service de Neuroradiologie, Hôpital Lariboisière, Paris, France.
J Neurosurg. 1993 Jul;79(1):3-10. doi: 10.3171/jns.1993.79.1.0003.
Seventy-one intracranial aneurysms were treated by endovascular techniques, with the placement of minicoils inside the aneurysmal sac. Most aneurysms were manifest by hemorrhage (67 cases), and 43 of these were treated within the first 3 days after presentation. At the 1-year follow-up examination, the outcome was scored as good in 84.5% of cases, but the morbidity and mortality rates were 4.2% and 11.3%, respectively. Twenty-nine aneurysms in the anterior circulation and 42 in the posterior circulation were treated. In this series, 23 patients were classified as Hunt and Hess neurological Grade I, 27 as Grade II, 12 as Grade III, nine as Grade IV, and none as Grade V. Thirty-three aneurysms were less than 10 mm in diameter, 28 were 10 to 25 mm, and 10 were larger than 25 mm. The preliminary results from this study appear to justify the emergency treatment of aneurysms by this approach. Aneurysms in the posterior circulation are particularly well suited for this type of surgery.
71例颅内动脉瘤采用血管内技术治疗，在动脉瘤囊内放置微弹簧圈。大多数动脉瘤表现为出血（67例），其中43例在发病后3天内接受治疗。在1年的随访检查中，84.5%的病例结果评分良好，但发病率和死亡率分别为4.2%和11.3%。治疗了前循环的29个动脉瘤和后循环的42个动脉瘤。在本系列中，23例患者Hunt和Hess神经分级为I级，27例为II级，12例为III级，9例为IV级，无V级。33个动脉瘤直径小于10mm，28个为10至25mm，10个大于25mm。本研究的初步结果似乎证明了通过这种方法对动脉瘤进行急诊治疗的合理性。后循环中的动脉瘤尤其适合这种手术类型。
