CAJ | 학술논문

目的探讨椎动脉夹层动脉瘤(vertebral artery dissecting aneurysm,VADA)血管内治疗的可行性和疗效.方法回顾性分析7例接受血管内治疗的VADA患者的临床资料.结果 7例VADA患者均成功进行血管内治疗.以蛛网膜下腔出血起病的2例患者采用动脉瘤和载瘤动脉栓塞术,术后即刻造影显示VADA完全消失;其余5例未破裂VADA患者采用支架辅助弹簧圈栓塞术,术后即刻造影显示2例完全栓塞,3例近全栓塞.患者造影随访均显示VADA未显影,未见复发及出血.结论 VADA的血管内治疗安全可行.
목적 탐토추동맥협층동맥류(vertebral artery dissecting aneurysm,VADA)혈관내치료적가행성화료효.방법 회고성분석7례접수혈관내치료적VADA환자적림상자료.결과 7례VADA환자균성공진행혈관내치료.이주망막하강출혈기병적2례환자채용동맥류화재류동맥전새술,술후즉각조영현시VADA완전소실;기여5례미파렬VADA환자채용지가보조탄황권전새술,술후즉각조영현시2례완전전새,3례근전전새.환자조영수방균현시VADA미현영,미견복발급출혈.결론 VADA적혈관내치료안전가행.
Objective To investigate the feasibility and efficacy of endovaseular treatment of vertebral artery dissecting aneurysms (VADAs).Methods The clinical data of 7 patients with VADAs underwent endovascular treatment were analyzed retrospectively.Results Seven patients with VADAs successfully received endovascular treatment.Two patients with the onset of subarachnoid hemorrhage were treated with aneurysm embolization and parent artery embolization.Immediate postoperative angiography showed VADAs disappeared completely.The other 5 patients with unruptured VADAs were treated with stent-assisted coil embolization.Immediate postoperative angiography showed that 2 patients had complete occlusion,3 had almost complete occlusion.Angiographic follow-up of patients showed that VADAs did not develop.No recurrence and bleeding were observed.Conclusions The endovascular treatment of VADAs is safe and feasible.