CAJ | 학술논문

目的总结大脑前动脉水平段(A1)动脉瘤血管内治疗经验及技术要点,为该部位动脉瘤的介入治疗提供临床经验.方法回顾性分析经血管内治疗的A1段动脉瘤患者的影像及临床资料、治疗效果、手术技巧及随访情况.结果 16例A1段动脉瘤患者资料被收集,均经介入栓塞治疗,其中5例患者使用球囊辅助或支架辅助栓塞技术.根据动脉瘤部位及形态,微导管头端塑形技术进入瘤腔并维持稳定.动脉瘤均完全填塞,患者预后良好.结论血管内治疗适用于A1段动脉瘤,有时需应用球囊或支架辅助技术,微导管塑形技术对于介入栓塞A1段动脉瘤至关重要.
목적 총결대뇌전동맥수평단(A1)동맥류혈관내치료경험급기술요점,위해부위동맥류적개입치료제공림상경험.방법 회고성분석경혈관내치료적A1단동맥류환자적영상급림상자료、치료효과、수술기교급수방정황.결과 16례A1단동맥류환자자료피수집,균경개입전새치료,기중5례환자사용구낭보조혹지가보조전새기술.근거동맥류부위급형태,미도관두단소형기술진입류강병유지은정.동맥류균완전전새,환자예후량호.결론 혈관내치료괄용우A1단동맥류,유시수응용구낭혹지가보조기술,미도관소형기술대우개입전새A1단동맥류지관중요.
Objective To evaluate the experience of endovascular treatment in patients with horizontal segment aneurysms (A1 segment) of anterior cerebral artery.Methods The clinical data,angiographic results,embolizaition techniques and follow-up results of 16 A1 segnent aneurysms treated by embolization were retrospectively reviewed.Results All the patients were treated by selective embolization including five patients with balloon-assisted coiling (BAC) or stent-assisted coiling (SAC).According to the location and direction of aneurysms,the microcatheter tips' shaping was used for the microcatheter's position and stabilization.All patients showed excellent clinical outcomes.The complete aneurysm occlusion was obtained in all the patients.Conclusions Endovascular treatment of A1 aneurysms was feasible and effective.The application of BAC or SAC might be required.Microcatheter tip shaping technique was very important for coiling.