CAJ | 학술논문

目的分析颅内夹层动脉瘤的临床特点,总结血管内栓塞治疗的经验.方法对16例颅内夹层动脉瘤患者采用血管内栓塞治疗,其中3例采用单支架或双支架置入术,9例应用支架辅助下弹簧圈栓塞技术,3例使用球囊或弹簧圈辅助下球囊载瘤动脉闭塞术,1例使用单纯弹簧圈动脉瘤栓塞术.结果 16例中,动脉瘤完全闭塞9例(包括载瘤动脉闭塞病例),次全闭塞3例,不全闭塞4例(包括支架植入病例).随访6个月-3年,除早期1例死亡外,GOS结果评定:Ⅰ级8例,Ⅱ级4例,Ⅲ级2例,Ⅳ级1例.8例随访时脑血管造影,7例未见复发,1例瘤颈再通,正在随访.结论根据颅内夹层动脉瘤的不同部位、不同病理特点,选择不同的血管内栓塞治疗方法,是治疗夹层动脉瘤安全、有效的方法之一.
목적 분석로내협층동맥류적림상특점,총결혈관내전새치료적경험.방법 대16례로내협층동맥류환자채용혈관내전새치료,기중3례채용단지가혹쌍지가치입술,9례응용지가보조하탄황권전새기술,3례사용구낭혹탄황권보조하구낭재류동맥폐새술,1례사용단순탄황권동맥류전새술.결과 16례중,동맥류완전폐새9례(포괄재류동맥폐새병례),차전폐새3례,불전폐새4례(포괄지가식입병례).수방6개월-3년,제조기1례사망외,GOS결과평정:Ⅰ급8례,Ⅱ급4례,Ⅲ급2례,Ⅳ급1례.8례수방시뇌혈관조영,7례미견복발,1례류경재통,정재수방.결론 근거로내협층동맥류적불동부위、불동병리특점,선택불동적혈관내전새치료방법,시치료협층동맥류안전、유효적방법지일.
Objective To analyze the clinical features of intracranial dissecting aneurysm and summarize the experience of its endovascular embolization.Methods 16 cases of intracranial dissecting aneurysm were treated by endovascular embolization.Among these 16 patients,3 patients were treated with single stent or double stent placement technique,9 patients were treated with stent - assisted coil embolization technique,3 patients were ball artery occluded using the balloon - assisted or coil - assisted technique,and 1 patient was treated by simple coil embolization.Results Out of the 16 patients,9 cases were completely occluded ( including parent artery occlusion cases),3 cases were subtotally occluded,4 cases were incompletely occluded (including cases of stent implantation).Followed up for 6 months to 3 years,in addition to 1 case of early death,GOS evaluation results were respectively:grade Ⅰ 8 cases,grade Ⅱ 4 cases,grade Ⅲ 2 cases,grade Ⅳ 1 case.Cerebral angiography was carried out in 8 follow - up patients.No recurrence was watched in 7 cases,aneurysm neck recanalization was watched in 1 case,follow up was continued.Conclusion According to different localization of intracranial aneurysm and different pathological features,different methods of endovascular embolization are selected.It is the safe and effective treatment of dissecting aneurysm.