CAJ | 학술논문

目的：探讨介入栓塞治疗大脑中动脉分叉部动脉瘤疗效。方法2009年1月-2013年5月经介入栓塞治疗大脑中动脉分叉部动脉瘤患者21例，其中7例行弹簧圈栓塞，12例行支架辅助栓塞，2例采用双微导管技术。结果术后造影显示完全栓塞14例，瘤颈残留2例，大部分栓塞5例，术中出血1例，术后小面积梗死1例。影像随访17例未见动脉瘤复发。结论未破裂和破裂未形成较大血肿的大脑中动脉分叉动脉瘤首选介入栓塞治疗效果良好。
목적：탐토개입전새치료대뇌중동맥분차부동맥류료효。방법2009년1월-2013년5월경개입전새치료대뇌중동맥분차부동맥류환자21례，기중7례행탄황권전새，12례행지가보조전새，2례채용쌍미도관기술。결과술후조영현시완전전새14례，류경잔류2례，대부분전새5례，술중출혈1례，술후소면적경사1례。영상수방17례미견동맥류복발。결론미파렬화파렬미형성교대혈종적대뇌중동맥분차동맥류수선개입전새치료효과량호。
Objective To evaluate the therapeutic efficacy of endovascular embolism in treating aneurysms located at the bifurcation of middle cerebral artery. Methods During the period from Jan. 2009 to May 2013 at authors’ hospital, a total of 21 patients with intracranial aneurysms located at the bifurcation of middle cerebral artery were treated with interventional embolization. Of the 21 cases , steel coils were used in 7, stent-assistant embolization was adopted in 12, and dual-microcatheter technique was employed in 2. The results were analyzed. Results Postoperative angiography showed that complete embolization of the aneurysm was achieved in 14 patients, residual neck was detected in 2 patients and subtotal obliteration of the aneurysm was seen in 5 patients. Procedure-related complications occurred in 2 patients, including cerebral bleeding during operation (n = 1) and postoperative small area cerebral infarction. Seventeen patients were followed up for 6 months, and follow-up angiography showed that no recurrence of aneurysm was seen. Conclusion For un-ruptured, or ruptured with no big hematoma, intracranial aneurysms located at the bifurcation of middle cerebral artery, endovascular interventional embolization is the treatment of choice.