颅内巨大蛇形动脉瘤的血管内治疗效果
| 作者: |
1董凤
1 武汉市红十字会医院(武汉市第十一医院)神经内科，武汉 430015 |
| 通讯: |
董凤
Email: 710474884@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2019.07.019 |
摘要
目的：探讨血管内闭塞载瘤动脉结合或不结合远侧血管搭桥术治疗颅内巨大蛇形动脉瘤( g i ant ser pentine aneur ysm，GSA)的效果。方法：回顾性分析15例采用血管内闭塞载瘤动脉治疗颅内动脉瘤患者的CT，MRI和DSA等临床资料，采用血管内闭塞载瘤动脉的方法治疗；术后随访3个 月~3年，对15例患者进行临床和血管造影再评估。结果：15例患者采用血管内闭塞载瘤动脉治疗后，血管造影结果均显示完全闭塞。在随访过程中均恢复良好，动脉瘤无复发或再出血，均无脑梗死发生。结论：血管内闭塞载瘤动脉可能是一种安全有效的治疗颅内GSA的方法。
关键词：
血管内治疗；蛇形动脉瘤；载瘤动脉闭塞
Endovascular treatment of intracranial giant serpentine aneurysms
CorrespondingAuthor: DONG Feng Email: 710474884@qq.com
DOI: 10.3978/j.issn.2095-6959.2019.07.019
Abstract
Objective: To explore endovascular occlusion of parent artery combined with or combined with distal vascular bypass surgery treatment of intracranial giant serpentine aneurysms (GSA) effect. Methods: Medical records and cerebral angiograms from our endovascular center were analyzed retrospectively. Fifteen patients with serpentine aneurysms were treated by endovascular occlusion of the parent artery at the site of the aneurysm. The clinical and angiographic outcomes in 15 patients were assessed at 3 months to 3 years. Results: No cerebral infarction occurred. All patients made excellent recoveries at follow-up. No recurrence or rebleeding was noted. Conclusion: Endovascular parent artery occlusion may be a safe and effective way to treat intracranial giant serpentine aneurysms.
Keywords：
endovascular treatment; serpentine aneurysm; parent artery occlusion