论文部分内容阅读
目的评估破裂的基底动脉顶端动脉瘤急性期采用单纯弹簧圈,支架辅助技术结合弹簧圈介入治疗安全性,有效性,总结治疗的经验。方法回顾分析43例破裂的基底动脉顶端动脉瘤包括宽颈,瘤体/瘤颈﹤2,形态不规则的,采用单纯弹簧圈,支架辅助技术结合弹簧圈栓塞治疗的疗效,并分析并发症。结果 43例手术完成,影像学示完全填塞27例,近全填塞13例,不完全填塞2例,疏松填塞1例。手术并发症3例:出血1例,载瘤动脉闭塞1例,弹簧圈脱落1例。死亡2例:Ⅴ级1例,术前二次出血1例。结论介入治疗急性期破裂基底动脉顶端动脉瘤是一种可选择的,安全的有效的方法。介入治疗的临床预后与术前分级有关。
Objective To evaluate the safety and effectiveness of interventional therapy combined with coil interventional therapy in the acute phase of ruptured basilar artery aneurysms and to summarize the experience of treatment. Methods Retrospective analysis of 43 cases of ruptured basilar artery aneurysms including wide neck, tumor / neck <2, irregular shape, the use of simple coil, stent-assisted coil embolization therapy efficacy and analysis of complications. Results 43 cases were completed. The imaging showed 27 cases of complete filling, 13 cases of nearly full filling, 2 cases of incomplete filling and 1 case of loose packing. 3 cases of surgical complications: 1 case of bleeding, 1 case of occlusion of the parent artery, 1 case of coil failure. 2 cases died: Ⅴ grade in 1 case, 2 cases of preoperative bleeding. Conclusion Interventional treatment of acute ruptured basilar artery aneurysm is an alternative, safe and effective method. Interventional treatment of clinical prognosis and preoperative classification.