中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2011年
9期
942-944
,共3页
刘智良%徐如祥%戴宜武%邓其峻%王国福%罗永春%卢洪流%杨志军%李运军%秦家振%魏群
劉智良%徐如祥%戴宜武%鄧其峻%王國福%囉永春%盧洪流%楊誌軍%李運軍%秦傢振%魏群
류지량%서여상%대의무%산기준%왕국복%라영춘%로홍류%양지군%리운군%진가진%위군
动脉瘤%椎动脉%小脑后下动脉%载瘤动脉%闭塞
動脈瘤%椎動脈%小腦後下動脈%載瘤動脈%閉塞
동맥류%추동맥%소뇌후하동맥%재류동맥%폐새
Aneurysm%Vertebral artery%Posterior inferior cerebellar artery%Parent artery%Occlusion
目的探讨载瘤动脉闭塞治疗小脑后下动脉(PICA)以远椎动脉瘤的方法和效果。方法中山大学附属佛山第一人民医院神经外科自2006年1月至2007年1月对2例PICA以远椎动脉瘤破裂患者行介入载瘤动脉电解可脱弹簧圈(GDC)闭塞治疗，分析患者的临床特征、影像学特点和栓塞疗效。 结果2例患者术后PICA以远载瘤动脉合并动脉瘤均成功获得完全闭塞，无术后并发症发生。术后3个月造影复查证实动脉瘤体无充盈，同时PICA通畅，4年内无再出血发生。 结论对于开颅手术夹必困难的PICA以远椎动脉瘤，在PICA远端处闭塞一侧载瘤椎动脉是一种安全、有效的治疗方法。
目的探討載瘤動脈閉塞治療小腦後下動脈(PICA)以遠椎動脈瘤的方法和效果。方法中山大學附屬彿山第一人民醫院神經外科自2006年1月至2007年1月對2例PICA以遠椎動脈瘤破裂患者行介入載瘤動脈電解可脫彈簧圈(GDC)閉塞治療，分析患者的臨床特徵、影像學特點和栓塞療效。 結果2例患者術後PICA以遠載瘤動脈閤併動脈瘤均成功穫得完全閉塞，無術後併髮癥髮生。術後3箇月造影複查證實動脈瘤體無充盈，同時PICA通暢，4年內無再齣血髮生。 結論對于開顱手術夾必睏難的PICA以遠椎動脈瘤，在PICA遠耑處閉塞一側載瘤椎動脈是一種安全、有效的治療方法。
목적탐토재류동맥폐새치료소뇌후하동맥(PICA)이원추동맥류적방법화효과。방법중산대학부속불산제일인민의원신경외과자2006년1월지2007년1월대2례PICA이원추동맥류파렬환자행개입재류동맥전해가탈탄황권(GDC)폐새치료，분석환자적림상특정、영상학특점화전새료효。 결과2례환자술후PICA이원재류동맥합병동맥류균성공획득완전폐새，무술후병발증발생。술후3개월조영복사증실동맥류체무충영，동시PICA통창，4년내무재출혈발생。 결론대우개로수술협필곤난적PICA이원추동맥류，재PICA원단처폐새일측재류추동맥시일충안전、유효적치료방법。
Objective To summarize the clinical characteristics, therapeutic strategy and outcome of the vertebral aneurysms distal to the origin of posterior inferior cerebellar artery (PICA).Methods Two patients with vertebral posterior aneurysms distal to the origin of PICA, admitted to our hospital from January 2006 to January 2007 and received endovascular treatment of Gugliemi detachable coils (GDC), were submitted to a retrospective analysis of clinical features, radiological characteristics and therapeutic effects. Results Total occlusion was achieved in these 2 patients and no immediate complication occurred after the treatment. They were followed up for 3 months to 4 years; the postoperative digital subtraction angiography (DSA) revealed that the PICA was unobstructed and no rehaemorrhagia was noted. Conclusion Endovascular therapy with microcoil placement may be a safe and available alternative for the treatment of some complicated aneurysms of vertebral artery aneurysms distal to the origin of PICA, which is difficult to be clipped.
