CAJ | 학술논문

目的总结破裂前交通动脉动脉瘤血管内治疗的经验和体会.方法回顾性分析我院38例应用支架辅助、双微导管技术进行血管内治疗破裂前交通动脉动脉瘤的临床资料、栓塞过程以及治疗结果.结果38例患者中致密填塞33例,大部分填塞3例,瘤颈残留l例,术中破裂出血后死亡l例.12例患者入院DSA复查未见动脉瘤复发.结论破裂前交通动脉动脉瘤治疗比较困难,通过血管内治疗能够达到良好的治疗效果,但还需要积累大量的临床经验,不断提高血管内治疗水平.
목적 총결파렬전교통동맥동맥류혈관내치료적경험화체회.방법 회고성분석아원38례응용지가보조、쌍미도관기술진행혈관내치료파렬전교통동맥동맥류적림상자료、전새과정이급치료결과.결과38례환자중치밀전새33례,대부분전새3례,류경잔류l례,술중파렬출혈후사망l례.12례환자입원DSA복사미견동맥류복발.결론 파렬전교통동맥동맥류치료비교곤난,통과혈관내치료능구체도량호적치료효과,단환수요적루대량적림상경험,불단제고혈관내치료수평.
Objective To summarize the experience of endovascular treatment of ruptured anterior communicating artery aneurysms and discuss the technical points of procedure. Methods Retrospective analysis of the stent - assisted or dual microcatheter endovascular treatment for 38 patients of ruptured anterior communicating artery aneurysms in our hospital,the clinical data of anterior communicating artery aneurysm embolism process and treatment outcomes were evaluated.Results Densely packing 33 cases of 38 patients,most of the filling three cases,the residual aneurysm neck one cases of intraoperative bleeding,1 patient died.12 cases of patients on admission DSA review the no aneurysm recurrence.Conclusion Rupture of the anterior communicating artery aneurysm treatment,endovascular treatment can achieve a good therapeutic purpose,but also need to accumulate a lot of clinical experience,and continuously improve the level of endovascular treatment.