CAJ | 학술논문

目的：总结分析后交通动脉圆锥部破裂动脉瘤急性期介入栓塞治疗。方法：回顾分析我科2011年8月～2013年8月所收治的后交通动脉圆锥部破裂动脉瘤9例（同期收治后交通动脉瘤共36例）。结果：9例病人成功获得介入治疗。其中支架辅助弹簧圈栓塞3例，双导管技术栓塞2例，单纯弹簧圈4例。完全栓塞5例，近全栓塞3例，大部栓塞1例。结论：术前对动脉圆锥部破裂动脉瘤形态的观察，选择正确的栓塞方案，能获得良好的预后。
목적：총결분석후교통동맥원추부파렬동맥류급성기개입전새치료。방법：회고분석아과2011년8월～2013년8월소수치적후교통동맥원추부파렬동맥류9례（동기수치후교통동맥류공36례）。결과：9례병인성공획득개입치료。기중지가보조탄황권전새3례，쌍도관기술전새2례，단순탄황권4례。완전전새5례，근전전새3례，대부전새1례。결론：술전대동맥원추부파렬동맥류형태적관찰，선택정학적전새방안，능획득량호적예후。
Objective:To summarize the clinical experience in interventional treatment of a ruptured arterial aneurysm at the ampullar region of posterior communicating artery in acute stage.Methods:The clinical data were retrospectively examined in 9 cases of ruptured arterial aneurysms at the posterior communicating artery cone undergone treatment in our department between Aug.2011 and 2013.Results:In the 9 cases,3 were managed with stent-assis-ted coil embolization,2 with double microcatheter technique,and 4 with simple coil? embolization.Complete embolization occurred in 5 cases,relatively partial embolization in 3 and relatively moderate embolization in 1.Conclusion:Careful morphological evaluation on aneurysms and appropriate selection of the embolization approaches before intervention may lead to better prognosis .