CAJ | 학술논문

目的探索载瘤动脉闭塞术治疗大脑后动脉夹层动脉瘤的安全性和有效性.方法回顾性分析应用载瘤动脉闭塞治疗的大脑后动脉夹层动脉瘤患者23例.动脉瘤均位于大脑后动脉P2段或以远部位.临床随访应用GOS评分.结果 23例患者手术均成功,无器械相关的并发症.其中4例术后出现并发症:再出血1例,轻偏瘫1例,偏盲2例.载瘤动脉完全闭塞的患者术后即刻造影显示动脉瘤和载瘤动脉完全闭塞.行姑息性闭塞治疗的5例中,1例死于术后再出血,其余4例随访DSA均显示动脉瘤有增大或复发.结论载瘤动脉闭塞术对于大脑后动脉P2段及以远的夹层动脉瘤治疗是安全有效的.
목적 탐색재류동맥폐새술치료대뇌후동맥협층동맥류적안전성화유효성.방법 회고성분석응용재류동맥폐새치료적대뇌후동맥협층동맥류환자23례.동맥류균위우대뇌후동맥P2단혹이원부위.림상수방응용GOS평분.결과 23례환자수술균성공,무기계상관적병발증.기중4례술후출현병발증:재출혈1례,경편탄1례,편맹2례.재류동맥완전폐새적환자술후즉각조영현시동맥류화재류동맥완전폐새.행고식성폐새치료적5례중,1례사우술후재출혈,기여4례수방DSA균현시동맥류유증대혹복발.결론 재류동맥폐새술대우대뇌후동맥P2단급이원적협층동맥류치료시안전유효적.
Objective To study the safety and efficacy of parent artery occlusion for the treatment of posterior cerebral artery dissecting aneurysms.Methods 23 patients with posterior cerebral artery dissecting aneurysms were treated via endovascular parent artery occlusion in our institution.All of the aneurysms were at P2 or distal segment of PCA.Glasgow Outcome Scale (GOS) was used to evaluate the clinical outcome.Results The procedure was technically suocessful in all cases.Four procedure-related complications occurred:rebleeding ( n =1 ),hemiparesis ( n =1 ),and hemianopisia ( n =2).In the trapping group and the proximal occlusion group,all of the immediate angiography showed occlusion of the parent vessel and the aneurysm without retrograde filling from collateral vessels.And follow-up imaging showed no recurrence of the aneurysms.In the palliative embolization group,one of five patients was died of rebleeding after the procedure.The follow-up DSA showed that the other four aneurysms recurred.Conclusions Deliberate parent artery occlusion with detachable coils appears to be well tolerated for P2 or distal segment of PCA dissecting aneurysms.The technique may be the first choice of treatment for the treatment of dissecting aneurysms ofposterior cerebral artery.