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目的探讨颈动脉系统动脉瘤栓塞治疗及并发症的防治。方法本组共 14例 ,均为单发颈动脉系统动脉瘤 ,后交通动脉瘤 (PcoAN) 12例 ,海绵窦段动脉瘤 1例 ,颈动脉分叉部动脉瘤 1例。均行血管内栓塞治疗 ,栓塞材料为MDS、GDC和球囊。结果完全闭塞蛛网膜下腔出血 10例 ,自闭 1例 ,90 % 1例 ,4 0 % 1例 ,失败 1例 (术中颈内动脉闭塞 )。造影复查 7例 ,临床随访 7例 ,均未见动脉瘤复发及再发SAH。结论动脉瘤急性出血期栓塞创伤小、恢复快 ,具有明显的优势。为了减少并发症 ,术中、术后尚有许多细节值得注意。
Objective To investigate the treatment of carotid artery aneurysm embolism and prevention and treatment of complications. Methods A total of 14 cases of this group were single carotid system aneurysms, posterior communicating aneurysm (PcoAN) in 12 cases, 1 case of cavernous sinus aneurysm, carotid bifurcation aneurysm in 1 case. All patients underwent endovascular embolization. The embolic material was MDS, GDC and balloon. Results Complete occlusion of subarachnoid hemorrhage in 10 cases, 1 case of autism, 1 case of 90%, 4 0% in 1 case, failure in 1 case (intraoperative occlusion of the internal carotid artery). Angiography review in 7 cases, clinical follow-up in 7 cases, no recurrence of aneurysm and recurrence of SAH. Conclusion Aneurysm acute embolization trauma is small, fast recovery, with obvious advantages. In order to reduce complications, intraoperative and postoperative, there are many details worth noting.