脑全脑血管造影术在检测动脉瘤性蛛网膜下腔出血患者多发动脉瘤中的重要性。

Importance of cerebral pan-angiography for detection of multiple aneurysms in patients with aneurysmal subarachnoid haemorrhage.

作者信息

Rosenørn J, Eskesen V, Madsen F, Schmidt K

机构信息

Department of Neurosurgery, County Hospital, Glostrup, Denmark.

出版信息

Acta Neurol Scand. 1993 Mar;87(3):215-8. doi: 10.1111/j.1600-0404.1993.tb04104.x.

DOI:10.1111/j.1600-0404.1993.tb04104.x

PMID:8475693

Abstract

In the Danish Aneurysm Study 948 patients had a ruptured intracranial aneurysm (RA) revealed by cerebral angiography. Unilateral carotid angiography (UCA) with or without vertebral angiography (VA) demonstrated the RA in 206 patients, and 16 (7.8%) unruptured aneurysms (UA) were disclosed by UCA and 1 UA by VA. In 740 patients with at least bilateral carotid angiography (BCA) 164 UA (22.2%) were disclosed by BCA and 10 by VA. I.e. the number of UA demonstrated in patients with RA is not only doubled by BCA compared to ipsilateral UCA, but tripled demonstrating that an additional UA is more likely situated on the opposite side of the RA. Pan-angiography (or at least BCA) is therefore recommended in patients with RA.

摘要

在丹麦动脉瘤研究中，948例患者经脑血管造影显示有颅内破裂动脉瘤（RA）。单侧颈动脉造影（UCA）联合或不联合椎动脉造影（VA）在206例患者中显示出RA，16例（7.8%）未破裂动脉瘤（UA）通过UCA被发现，1例UA通过VA被发现。在至少接受双侧颈动脉造影（BCA）的740例患者中，164例UA（22.2%）通过BCA被发现，10例通过VA被发现。也就是说，与同侧UCA相比，RA患者中通过BCA显示的UA数量不仅增加了一倍，而且增加到了三倍，这表明额外的UA更有可能位于RA的对侧。因此，建议对RA患者进行全脑血管造影（或至少BCA）。