[1]杨华江 许民辉 王 昊 杨东虹.颈内动脉床突旁动脉瘤的血管内治疗[J].中国临床神经外科杂志,2015,(07):389-391.[doi:10.13798/j.issn.1009-153X.2015.07.002]
 YANG Hua-jiang,XU Min-hui,WANG Hao,et al.Endovascular embolization of paraclinoid aneurysms of internal carotid arteries (report of 104 cases)[J].,2015,(07):389-391.[doi:10.13798/j.issn.1009-153X.2015.07.002]
点击复制

颈内动脉床突旁动脉瘤的血管内治疗()
分享到:

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年07期
页码:
389-391
栏目:
论著
出版日期:
2015-07-30

文章信息/Info

Title:
Endovascular embolization of paraclinoid aneurysms of internal carotid arteries (report of 104 cases)
文章编号:
1009-153X(2015)07-0389-03
作者:
杨华江 许民辉 王 昊 杨东虹
400042 重庆,第三军医大学大坪医院神经外科
通讯作者:杨东虹,E-mail:13908376237@163.com
Author(s):
YANG Hua-jiang XU Min-hui WANG Hao YANG Dong-wang.
Department of Neurosurgery, Dapin Hospital, The Third Military Medical University, Chongqing 400042, China
关键词:
颈内动脉床突旁动脉瘤栓塞治疗疗效
Keywords:
Paraclinoid aneurysms Endovascular embolization Stent Curative effect
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2015.07.002
文献标志码:
A
摘要:
目的 探讨血管内治疗床颈内动脉突旁动脉瘤的效果和安全性。方法 对接受血管内治疗的104例(共112个)床突旁颈内动脉动脉瘤患者的临床资料进行回顾性分析。结果 栓塞后即时造影显示,83个动脉瘤(74.1%)完全闭塞,16个(14.3%)瘤颈残留,13个(11.6%)瘤体残留。93个(83%)动脉瘤获造影随访3个月~2年,88个(94.6%)动脉瘤显示稳定或完全闭塞,5个(5.4%)复发。发生手术相关并发症2例(1.9%),无死亡病例。结论 血管内弹簧圈栓塞治疗床突旁动脉瘤是一种安全有效的方法。
Abstract:
Objective To evaluate the safety of endovascular embolization of paraclinoid aneurysms of internal carotid arteries (ICA) and its effect. Methods The clinical data of 104 patients with 112 paraclinoid aneurysms of ICA receiving endovascular embolization from 2009 to 2013 were analyzed retrospectively. Of 112 paraclinoid aneurysms, 36 belonged in type Ⅰa, 24 in type Ⅰb, 28 in type Ⅱ, 21 in type Ⅲ, and 3 in type Ⅳ according to Al-Radhan classification. Thirty-two aneurysms were embolized with coils and 80 with stent-assisted coiling technique. Results DSA immediately after the treatment showed that of 112 aneurysms, 83 (74.1%) were completely occluded, 13 (11.6%) incompletely and 16 (14.3%) had aneurysmal neck remnant. The postoperative complications included incompletely occlusion of the central artery of retina in 1 patient and basal ganglion hemorrhage 3 days after the embolization in 1. Of 93 aneurysms followed up from 3 months to 2 years, 88 were completely stably occluded and 5 recurred. Conclusion The endovascular embolization is a safe and effective method to treat the paraclinoid aneurysms of CIA.

参考文献/References:

[1] Raymond J, Guilbert F, Weill A, et al. Long-term angiogra- phic recurrences after selective endovascular treatment of aneurysms with detachable coils [J]. Stroke, 2003, 34: 1398-1403.
[2] Drake CG, Vanderlinden RG, Amacher AL. Carotid- ophthalmic aneurysms [J]. J Neurosurg, 1968, 29: 24-31.
[3] Hoh BL, Carter BS, Budzik RF, et al. Results after surgical and endovascular treatment of paraclinoid aneurysms by a combined neurovascular team [J]. Neurosurgery, 2001, 48: 78-90.
[4] Beretta F, Andaluz N, Zuccarello M. Aneurysms of the oph- thalmic (C6) segment of the internal carotid artery: treat- ment options and strategies based on a clinical series [J]. J Neurosurg Sci, 2004, 48: 149-156.
[5] Raco A, Frati A, Santoro A, et al. Long-term surgical results with aneurysms involving the ophthalmic segment of the carotid artery [J]. J Neurosurg, 2008, 108: 1200-1210.
[6] Jin SC, Kwon dH, Ahn JS, et al. Clinical and radiological outcomes of endovascular detachable coil embolization in paraclinoid aneurysms: a 10-year experience [J]. J Korean Neurosurg Soc, 2009, 45: 5-10.
[7] Yadla S, Campbell PG, Grobelny B, et al. Open and endova- scular treatment of unruptured carotid-ophthalmic aneury- sms: clinical and radiographic outcomes [J]. Neurosurgery, 2011, 68: 1434-1443.
[8] Loumiotis I, D’Urso PI, Tawk R, et al. Endovascular treat- ment of ruptured paraclinoid aneurysms: results, complica- tions, and follow-up [J]. Am J Neuroradiol, 2012, 33: 632- 637.
[9] Pandey AS, Koebbe C, Rosenwasser RH, et al. Endovascular coil embolization of ruptured and unruptured posterior cir- culation aneurysms: review of a 10-year experience [J]. Neurosurgery, 2007, 60: 626-637.
[10] Horowitz M, Gupta R, Gologorsky Y, et al. Clinical and anatomic outcomes after endovascular coiling of middle cerebral artery aneurysms: report on 30 treated aneurysms and review of the literature [J]. Surg Neurol, 2006, 66: 167- 171.
[11] Bavinzski G, Killer M, Ferraz-Leite H, et al. Endovascular therapy of idiopathic cavernous aneurysms over 11 years [J]. Am J Neuroradiol, 1998, 19: 559-565.
[12] Berge J, Biondi A, Machi P, et al. Flow-Diverter silk stent for the treatment of intracranial aneurysms: 1-year follow- up in a multicenter study [J]. Am J Neuroradiol, 2012, 33: 1150-1155.

相似文献/References:

[1]李 明,党 伟,胡志卿,等.早期栓塞和手术夹闭颅内破裂动脉瘤的疗效及安全性[J].中国临床神经外科杂志,2016,(12):759.[doi:10.13798/j.issn.1009-153X.2016.12.009]
 LI Ming,DANG Wei,HU Zhi-qing,et al.Evaluation of effect of early interventional treatment on ruptured incranial aneurysms and its safety[J].,2016,(07):759.[doi:10.13798/j.issn.1009-153X.2016.12.009]
[2]谢兵,丁明祥,刘天助,等.丙泊酚Wada试验在脑功能区动静脉畸形栓塞中的应用[J].中国临床神经外科杂志,2017,(02):74.[doi:10.13798/j.issn.1009-153X.2017.02.004]
 XIE Bing,DING Ming-xiang,LIU Tain-zhu,et al.Value of super-selective Wada testing with propofol in embolization of cerebral arteriovenous malformations in functional regions of the cerebral cortex[J].,2017,(07):74.[doi:10.13798/j.issn.1009-153X.2017.02.004]
[3]左 乔 许 奕 洪 波 刘建民 黄清海.新型机械解脱弹簧圈栓塞颅内动脉瘤的初步经验[J].中国临床神经外科杂志,2017,(03):165.[doi:10.13798/j.issn.1009-153X.2017.03.013]
 ZUO Qiao,XU Yi,HONG Bo,et al.Initial experience in embolizing intracranial aneurysms with new mechanical detachable coils (Presgo?)[J].,2017,(07):165.[doi:10.13798/j.issn.1009-153X.2017.03.013]
[4]张占伟 喻坚柏 罗 刚.合并脑室出血的小脑幕区脑血管畸形的急诊血管内治疗(附18例报道)[J].中国临床神经外科杂志,2017,(05):327.[doi:10.13798/j.issn.1009-153X.2017.05.015]
[5]刘尧发,黄金生,陈文培,等.以顽固性头痛、高血压为首发表现的椎动脉动脉瘤1例[J].中国临床神经外科杂志,2018,(09):639.[doi:10.13798/j.issn.1009-153X.2018.09.024]
[6]丁 昊 陈岷辉 陈立珂 杨呈浩 蓝美锐.夹闭术与栓塞治疗对颅内破裂动脉瘤病人局部脑氧饱和度的影响[J].中国临床神经外科杂志,2019,(01):29.[doi:10.13798/j.issn.1009-153X.2019.01.008]
 DING Hao,CHEN Min-hui,Chen Li-ke,et al.Effects of clipping and endovascular embolization on regional cerebral oxygenation in patients with ruptured intracranial aneurys[J].,2019,(07):29.[doi:10.13798/j.issn.1009-153X.2019.01.008]
[7]刘 泉,李 俊.左侧小脑后下动脉远端动脉瘤栓塞术中破裂抢救成功1例[J].中国临床神经外科杂志,2019,(06):382.[doi:10.13798/j.issn.1009-153X.2019.06.022]
[8]余 挺 谈世刚 殷国江等.喉上神经内支阻滞对栓塞治疗的颅内多发动脉瘤病人全麻苏醒期恢复质量的影响[J].中国临床神经外科杂志,2021,26(02):85.[doi:10.13798/j.issn.1009-153X.2021.02.007]
 YU Ting,TAN Shi-gang,YIN Guo-jiang,et al.Effect of ultrasound-guided internal branch of the upper laryngeal nerve block on general anesthetic recovery of patients with multiple intracranial aneurysms after interventional embolization[J].,2021,26(07):85.[doi:10.13798/j.issn.1009-153X.2021.02.007]

更新日期/Last Update: 2015-07-30