CAJ | 학술논문

目的：探讨颅内动脉瘤血管内治疗术中及术后相关并发症及风险防范。方法回顾性分析该院2012年10月-2014年1月血管内栓塞治疗57例患者的围手术期并发症及术后结果。结果术后GOS评分5分42例,4分11例,死亡4例(7%)。围手术期并发症院症状性脑血管痉挛患者17例(41~50岁1例,51~60岁4例,60岁以上12例),弹簧圈脱出2例,脑梗塞1例。 TIA反复发作1例,无再通复发及心肺并发症。结论血管内治疗并发症发生率较低,症状性血管痉挛、术中血栓、再通及弹簧圈脱出是常见的并发症,术前良好的沟通及充分的材料准备、术者熟练的操作技巧、术中对动脉瘤充分评估、治疗方案选择及术后积极治疗是治疗成功和减少风险的关键。
목적：탐토로내동맥류혈관내치료술중급술후상관병발증급풍험방범。방법회고성분석해원2012년10월-2014년1월혈관내전새치료57례환자적위수술기병발증급술후결과。결과술후GOS평분5분42례,4분11례,사망4례(7%)。위수술기병발증원증상성뇌혈관경련환자17례(41~50세1례,51~60세4례,60세이상12례),탄황권탈출2례,뇌경새1례。 TIA반복발작1례,무재통복발급심폐병발증。결론혈관내치료병발증발생솔교저,증상성혈관경련、술중혈전、재통급탄황권탈출시상견적병발증,술전량호적구통급충분적재료준비、술자숙련적조작기교、술중대동맥류충분평고、치료방안선택급술후적겁치료시치료성공화감소풍험적관건。
Objective To discuss the complications of endovascular treatment for patients with intracranial aneurysm and the pre-ventive measures. Methods The perioperative complications and treatment effect of the 57 patients who underwent endovascular embolization treatment in the Department of Neurosurgery of our hospital during October 2012 and January 2014 were retrospec-tively analyzed. Results After treatment in accordance with GOS score, there were 5 points in 42 cases, 4 points in 11 cases and 4 case died(7%). In terms of perioperative complications, there were 17 patients with symptomatic cerebral vasospsm (1 patients, 4 patients, 12 patients in three age groups: 41~50, 51~60 and 60 above, respectively), 2 patients with coil protrusion and 1 patient with cerebral infarction. TIA recurrence occurred in on patients, but no recanalization and cardiopulmonary complication were found. Conclusion Endovascular treatment has low rate of complications, the common of which include symptomatic cerebral va-sospsm, intraoperative thrombus, recanalization and coil protrusion. The key of the successful treatment and risk reduction are good preoperative communication, sufficient material preparation, skilled surgical techniques, optimization of treatment, full intraopera-tive assessment for the arterial tumor and positive postoperative treatment.