CAJ | 학술논문

目的评价瘤内Onyx栓塞后循环远端动脉瘤的可行性和安全性.方法回顾性分析应用Onyx瘤内栓塞治疗的12例后循环远端动脉瘤患者的临床资料及随访结果.结果即刻造影显示所有12个动脉瘤均完全闭塞,11例载瘤动脉保留.发生操作相关并发症1例,导致暂时性神经功能缺失.未发生永久性神经功能缺失.随访期间患者预后满意,无动脉瘤再通和再出血发生.结论 Onyx瘤内栓塞后循环远端动脉瘤疗效显著,载瘤动脉保存率高,对于无法手术夹闭和弹簧圈瘤内栓塞的病例是一种可行的治疗方法.
목적 평개류내Onyx전새후순배원단동맥류적가행성화안전성.방법 회고성분석응용Onyx류내전새치료적12례후순배원단동맥류환자적림상자료급수방결과.결과 즉각조영현시소유12개동맥류균완전폐새,11례재류동맥보류.발생조작상관병발증1례,도치잠시성신경공능결실.미발생영구성신경공능결실.수방기간환자예후만의,무동맥류재통화재출혈발생.결론 Onyx류내전새후순배원단동맥류료효현저,재류동맥보존솔고,대우무법수술협폐화탄황권류내전새적병례시일충가행적치료방법.
Objective To study the efficacy and safety of intra-aneurysmal Onyx embolization of intracranial aneurysms of the distal end of posterior circulation with parent artery preservation.Methods Twelve consecutive patients harboring 12 intracranial aneurysms of the distal end ofposterior circulation underwent intra-aneurysmal Onyx embolization.The locations of the aneurysms were as following:posterior cerebral artery (PCA) in 2 patients,superior cerebellar artery (SCA) in 3 patients,anterior inferior cerebellar artery (AICA) in 2 patients,and posterior inferior cerebellar artery (PICA) in 5 patients.The technical feasibility of the procedure,procedure-related complications,angiographic results,and clinical outcomes were evaluated.Results In every case,endovascular treatment was achieved.Immediate angiography demonstrated that all of 12 aneurysms were completely occluded,with parent arlery preservation in 11 of them.Procedure-related complication occurred in one patient with transient neurological sequelae.There was norebleeding or recanalization of the aneurysms during follow-up duration.Conclusions The intra-aneurysmal Onyx embolization is helpful in the treatment of intracranial aneurysms of the distal end of poslerior circulation in which selective occlusion of the aneurysmal sac with coils or open clipping cannot be achieved.