刘一之,金泳海,朱晓黎,邹建伟.后循环动脉瘤破裂急性期介入治疗的应用[J].中国医学影像技术,2007,23(1):49~51
后循环动脉瘤破裂急性期介入治疗的应用
Application of emergent interventional treatment of ruptured posterior circulation cerebral aneurysms
投稿时间:2006-08-26  修订日期:2006-11-13
DOI:
中文关键词:  后循环  脑动脉瘤  栓塞
英文关键词:Posterior circulation  Intracranial aneurysm  Embolization
基金项目:江苏省卫生厅"135"工程资助课题(36RC2002036)。
作者单位E-mail
刘一之 苏州大学附属第一医院介入科,江苏 苏州 215006 liuyz-sz@163.com 
金泳海 苏州大学附属第一医院介入科,江苏 苏州 215006  
朱晓黎 苏州大学附属第一医院介入科,江苏 苏州 215006  
邹建伟 苏州大学附属第一医院介入科,江苏 苏州 215006  
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中文摘要:
      目的 研究后循环动脉瘤破裂急性期微导管栓塞术的临床价值。方法 对11例后循环动脉瘤破裂急性期(3天内)的患者采用微导管技术进行动脉瘤腔栓塞术,针对手术成功率,术后再出血发生率,患者恢复情况以及6个月随访情况进行研究。结果 11例患者接受了急诊栓塞术,共栓塞动脉瘤12个。手术成功率100%,致密填塞率83.3%,死亡1例。结论 后循环动脉瘤急性期微导管栓塞术可有效降低急性期动脉瘤二次出血发生率。
英文摘要:
      Objective To evaluate the clinical signification of endovascular embolization in acute stage of ruptured posterior circulation cerebral aneurysms. Methods In 11 patients, endovascular treatment was performed to embolize the ruptured posterior circulation cerebral aneurysms during the acute stage. Nine patients were followed-up for 6 months. Mortality, rebleeding rate and recovery state were observed. Results Eleven cases (12 aneurysms) were embolized with GDC successfully. 83.3% of patients (10/12) were achieved more than 95% occlusion. One patient came into deep coma after embolization and died finally. Conclusion Emergent endovascular embolization in ruptured posterior circulation cerebral aneurysms can reduce the mortality and the rebleeding rate of aneurysms.
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