CAJ | 학술논문

目的评价颅内多发动脉瘤的血管内栓塞结果.方法回顾2010年3月至2011年1月血管内栓塞治疗的36例颅内多发动脉瘤患者的临床资料.结果 36例患者有84个动脉瘤,其中63个经血管内栓塞治疗,2个外科夹闭,19个未治疗.54个(86％)完全栓塞,8个(13％)瘤颈残留,1个(2％)只行支架覆盖.26例患者(72％)一次栓塞1个以上动脉瘤.31例患者进行了造影随访,93％(53个动脉瘤)表现稳定或闭塞,7％(4个动脉瘤)复发,临床随访结果:33例患者(92％)无症状或轻微症状,1例(3％)部分视野缺失,2例(6％)偏瘫.结论血管内治疗是颅内多发动脉瘤的合理治疗方法.血管内栓塞可用于优先治疗破裂出血的动脉瘤和外科难治的意外发现的动脉瘤.
목적 평개로내다발동맥류적혈관내전새결과.방법 회고2010년3월지2011년1월혈관내전새치료적36례로내다발동맥류환자적림상자료.결과 36례환자유84개동맥류,기중63개경혈관내전새치료,2개외과협폐,19개미치료.54개(86％)완전전새,8개(13％)류경잔류,1개(2％)지행지가복개.26례환자(72％)일차전새1개이상동맥류.31례환자진행료조영수방,93％(53개동맥류)표현은정혹폐새,7％(4개동맥류)복발,림상수방결과:33례환자(92％)무증상혹경미증상,1례(3％)부분시야결실,2례(6％)편탄.결론 혈관내치료시로내다발동맥류적합리치료방법.혈관내전새가용우우선치료파렬출혈적동맥류화외과난치적의외발현적동맥류.
Objective To evaluate the results of endovascular embolization of multiple intracranial aneurysms.Methods A retrospective hospital chart and radiograph review were performed of all patients with multiple intracranial aneurysms between March 2010 and January 2011.Results Ten patients presented with subarachnoid hemorrhage (SAH),four mass effects,two brain ischemia and twenty were incidental.These 36 patients harbored 84 aneurysms,63 of which were treated with endovascular techniques,two by surgical clipping,and nineteen were left untreated.In the coil-treated lesions,a complete endovascular occlusion was achieved in 54 aneurysms (86％),and 8 (13％) presented neck remnants with one (2％) stented only.Twenty-six patients (72％) underwent coil embolization of more than one aneurysm in the first session.Follow-up angiographic studies in 31 patients demonstrated an unchanged or improved result in 93％ of the aneurysms (53 lesions) and coil compaction in 7％ (four lesions).The overall clinical outcome was excellent in 33 patients (92％),good in one (3％) and fair in two (6％).Conclusions Endovascular techniques may be a particularly suitable method for the treatment of multiple intracranial aneurysms.