CAJ | 학술논문

一例28岁女性患者因“突发头痛伴呕吐1天”入院。颅脑CT平扫提示蛛网膜下腔出血。数字减影血管造影检查提示左侧大脑前动脉A1段远侧大型动脉瘤。急诊全身麻醉下行支架辅助动脉瘤栓塞术，术毕即刻动脉瘤完全栓塞，载瘤动脉通畅。术后3个月随访发现动脉瘤明显复发。随后通过双侧胼周动脉A3－A3搭桥后再次行动脉瘤及载瘤动脉栓塞治疗，取得满意疗效。
일례28세녀성환자인“돌발두통반구토1천”입원。로뇌CT평소제시주망막하강출혈。수자감영혈관조영검사제시좌측대뇌전동맥A1단원측대형동맥류。급진전신마취하행지가보조동맥류전새술，술필즉각동맥류완전전새，재류동맥통창。술후3개월수방발현동맥류명현복발。수후통과쌍측변주동맥A3－A3탑교후재차행동맥류급재류동맥전새치료，취득만의료효。
A 28-year-old female patient was admitted to the Second Affiliated Hospital, Zhejiang University School of Medicine, with sudden headache and vomiting for 1 day.CT scan conducted at emergency revealed subarachnoid hemorrhage, whereas digital subtraction angiography demonstrated a wide-neck aneurysm located at A1 segment of the left anterior cerebral artery.The aneurysm was totally coiled using stent assistance, which, however, was recanalized at 3 month follow-up.This patient was then subjected to aneurysm and parent artery occlusion after bypass of the bilateral A3 segments, who recovered well and discharged without ischemic complications.