Endovascular treatment for multiple intracranial aneurysms

Huang Qinjiang; Guo Zongduo; Zhang Xiaodong; Sun Xiaochuan; Zhu Ji; He Zhaohui

doi:10.13406/j.cnki.cyxb.000886

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Endovascular treatment for multiple intracranial aneurysms

更新时间：2024-01-17

- Endovascular treatment for multiple intracranial aneurysms
- Journal of Chongqing Medical University Vol. 41, Issue 5, Pages: 485-488(2016)
- 作者机构：
  
  重庆医科大学附属第一医院神经外科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.000886
  CLC： R651.12
- Published：2016，
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[1]黄钦江,郭宗铎,张晓冬,孙晓川,朱继,何朝晖.颅内多发动脉瘤的血管内治疗[J].重庆医科大学学报,2016,41(05):485-488.

Huang Qinjiang, Guo Zongduo, Zhang Xiaodong, et al. Endovascular treatment for multiple intracranial aneurysms. [J]. Journal of Chongqing Medical University 41(5):485-488(2016)
[1]黄钦江,郭宗铎,张晓冬,孙晓川,朱继,何朝晖.颅内多发动脉瘤的血管内治疗[J].重庆医科大学学报,2016,41(05):485-488. DOI： 10.13406/j.cnki.cyxb.000886.

Huang Qinjiang, Guo Zongduo, Zhang Xiaodong, et al. Endovascular treatment for multiple intracranial aneurysms. [J]. Journal of Chongqing Medical University 41(5):485-488(2016) DOI： 10.13406/j.cnki.cyxb.000886.

摘要

目的:探讨颅内多发动脉瘤血管内治疗的适应证、可行性、疗效及预后。方法:收集2011年4月至2014年9月于我科诊断并行栓塞治疗的63例颅内多发动脉瘤患者的临床资料

并对其疗效和适应证进行回顾性分析。结果:63例患者共150个动脉瘤

其中47例为2个

10例为3个

4例为4个

2例为5个。55例一期栓塞所有动脉瘤

1例分次栓塞动脉瘤

7例只处理责任动脉瘤。共栓塞动脉瘤139个

其中138个（99.3%）完全栓塞

1个（0.7%）为次全栓塞

80个使用支架。出院时格拉斯哥预后评分（Glasgow outcome scale

GOS）:5分45例

4分7例

3分6例

2分5例。出院后5

8月27例患者进行DSA随访

3例3个动脉瘤复发

其中1例同时伴有新生。结论:血管内治疗能一期栓塞颅内多发动脉瘤

疗效较好

致密栓塞以及防治术后并发症是保证疗效的重要因素。

Abstract

Objective:To evaluate the results of endovascular treatment for multiple intracranial aneurysms. Methods:The clinical data of 63 patients with multiple intracranial aneurysms between April 2011 and September 2014 in our department were collected and retrospectively analzyed. Results :A complete endovascular occlusion was achieved in 55 patients in the first session;one patient achieved complete embolization by twice surgery;responsible aneurysms was occluded in seven patients. All 63 patients harbored150 aneurysms;47 patients harbored 2 aneurysms

10 patients harbored 3 aneurysms

4 patients harbored 4 aneurysms

2 patients harbored 5 aneurysms. Totally 139 embolism aneurysms were found

of which 138 cases(99.3%)were complete embolism aneurysms and 1 case(0.7%)was neck remnants;80 stents were used. Glasgow outcome scale(GOS)score at discharge:5 points in 45 cases

4points in 7 cases

3 points in 6 cases

2 points in 5 cases. Follow-up DSA was conducted for 27 patients after discharge;3 cases demonstrated three recurrences of the aneurysms

including 1 case with a new aneurysm. Conclusion:The efficacy of endovascular treatment for multiple intracranial aneurysms at stage I is relatively good. Dense embolization and reducing the complications during the perioperative period are the key factors of better outcome.

关键词

颅内动脉瘤栓塞治疗

Keywords

intracranial aneurysmsembolizationtherapeutic

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