CAJ | 학술논문

目的分析75岁以上患者脑血管造影实施、病变分布、并发症等情况.方法 83例75岁以上患者行全脑及双锁骨下动脉造影术,缺血性脑血管病61例(73.5%),出血性脑血管病22例(26.5%).结果 83例造影中78例(94.0%)造影经股动脉完成,11例(13.3%)造影中应用复合弯曲导管.缺血性脑血管病例中前循环狭窄107处(占67.3%),后循环52处(占32.7%);颅外97处(占61.0%),颅内62处(占39.0%);发现8例(占13.1%)患者存在9个未破裂动脉瘤.出血性脑血管病中16例(72.6%)存在颅内动脉瘤,共发现动脉瘤19个.5例(6.0%)出现并发症,一过性神经系统并发症2例(2.4%),穿刺点血肿2例(2.4%),尿潴留1例(1.2%).结论脑血管造影术作为一项诊断技术对75岁以上脑血管病患者是较安全的,其并发症特别是永久性神经系统并发症的发生率较低.
목적 분석75세이상환자뇌혈관조영실시、병변분포、병발증등정황.방법 83례75세이상환자행전뇌급쌍쇄골하동맥조영술,결혈성뇌혈관병61례(73.5%),출혈성뇌혈관병22례(26.5%).결과 83례조영중78례(94.0%)조영경고동맥완성,11례(13.3%)조영중응용복합만곡도관.결혈성뇌혈관병례중전순배협착107처(점67.3%),후순배52처(점32.7%);로외97처(점61.0%),로내62처(점39.0%);발현8례(점13.1%)환자존재9개미파렬동맥류.출혈성뇌혈관병중16례(72.6%)존재로내동맥류,공발현동맥류19개.5례(6.0%)출현병발증,일과성신경계통병발증2례(2.4%),천자점혈종2례(2.4%),뇨저류1례(1.2%).결론 뇌혈관조영술작위일항진단기술대75세이상뇌혈관병환자시교안전적,기병발증특별시영구성신경계통병발증적발생솔교저.
Objective To analyze the angiography procedure,distribution of cerebral vascular lesions and complications of cerebral angiography in patients 75 years or older with cerebrovascular diseases.Methods A total of 83 consecutive patients 75 years or older (range 75-89 years) diagnosed as cerebral vascular diseases underwent cerebral angiography with a coverage of all arteries supplying blood to the whole brain including bilateral subclavian arteries between June 2003 and June 2009.The angiogram showed 61 patients (73.5%) with ischemic cerebralvascular diseases,22patients (26.5%) with hemorrhagic cerebralvascular diseases.Results The 78 (94.0%)angiographies were performed using transfemoral access.Composite curve catheters such as Simmons curve were selected in 11 (13.3%) angiographies.In patients with ischemic cerebralvascular diseases,159 stenotic lesions were detected,among which 107 (67.3%) lesions located at the anterior circulation and 52 (32.7%) lesions located at the posterior circulation;97 (61.0%) lesions were extracranial and 62 (39.0%) lesions were intracranial.The 9 unruptured aneurysms were incidentally detected in 8 patients.In patients with hemorrhagic cerebralvascular diseases,19 aneurysms were detected in 16 (72.6 % ) patients.Complications occurred in 5 (6.0 % ) patients:transient neurological complications occurred in 2 (2.4%) patients,hematoma at the puncture site occurred in 2 (2.4%)patients and uroschesis occurred in 1 (1.2%) patients.Conclusions As a kind of diagnostic technology,cerebral angiography is safe in patients 75 years or older with cerebral vascular diseases.The incidence of complications especially permanent neurological complications is low.