颅内动脉瘤的涂层：34例长期随访研究
Coating of intracranial aneurysms: a long-term follow-up study of 34 cases.
作者信息
van Calenbergh F, Buyse G G, Goffin J, Plets C
机构信息
Department of Neurosurgery, University Hospital Gasthuisberg, Catholic University of Leuven, Belgium.
出版信息
Acta Neurochir (Wien). 1995;136(1-2):62-6. doi: 10.1007/BF01411436.
We performed a retrospective follow-up study of 33 patients, with 34 ruptured aneurysms, treated by coating using bio-adhesive polymers. The rebleeding rate after a mean follow-up of 10 years was 18% (6 patients), with 4 cases of early haemorrhage and 2 late rebleedings (late rebleeding rate of 0.7% per year). All rebleedings proved fatal. Coating of the aneurysmal wall provides some protection in patients with "unclippable" aneurysms, but is obviously inferior to clipping, and should be used only in very selected cases.
我们对33例患者（共34个破裂动脉瘤）进行了一项回顾性随访研究，这些患者接受了生物粘附聚合物涂层治疗。平均随访10年后的再出血率为18%（6例患者），其中4例为早期出血，2例为晚期再出血（晚期再出血率为每年0.7%）。所有再出血均被证明是致命的。对动脉瘤壁进行涂层可为“无法夹闭”的动脉瘤患者提供一定保护，但明显不如夹闭术，仅应在非常特定的病例中使用。
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