[1]潘思源　叶国辉　刘　洋　沈春发　张少杰　白三莉　赵曰圆　秦　杰　秦海林　安学锋　杨　铭.合并同侧胚胎型大脑后动脉的后交通动脉动脉瘤栓塞术后复发的影响因素分析[J].中国临床神经外科杂志,2022,27(04):245-248.[doi:10.13798/j.issn.1009-153X.2022.04.002]
　PAN Si-yuan,YE Guo-hui,LIU Yang,et al.Risk factors of aneurysm recurrence of parents with posterior communicating artery aneurysm associated with ipsilateral fetal posterior cerebral artery after endo-vascular embolization[J].,2022,27(04):245-248.[doi:10.13798/j.issn.1009-153X.2022.04.002]
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合并同侧胚胎型大脑后动脉的后交通动脉动脉瘤栓塞术后复发的影响因素分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年04期
页码:
245-248
栏目:
论著
出版日期:
2022-04-30

文章信息/Info

Title:
Risk factors of aneurysm recurrence of parents with posterior communicating artery aneurysm associated with ipsilateral fetal posterior cerebral artery after endo-vascular embolization
文章编号:
1009-153X（2022）04-0245-04
作者:
潘思源　叶国辉　刘　洋　沈春发　张少杰　白三莉　赵曰圆　秦　杰　秦海林　安学锋　杨　铭
510515 广州，南方医科大学第一临床医学院（潘思源、叶国辉、沈春发、张少杰）；430070 武汉，中国人民解放军中部战区总医院神经外科（刘　洋、白三莉、赵曰圆、秦　杰、秦海林、安学锋、杨　铭）
Author(s):
PAN Si-yuan1;  YE Guo-hui1;  LIU Yang2;  SHEN Chun-fa1;  ZHANG Shao-jie1;  BAI San-li2;  ZHAO Yue-yuan2;  QIN Jie2;  QIN Hai-lin2;  AN Xue-feng2;  YANG Ming2.
1. The First School of Clinical Medcine, Southern Medical University, Guangzhou 510515, China; 2. Department of Neurosurgery, General Hospital of Central Theater Command, PLA, Wuhan 430070, China
关键词:
后交通动脉动脉瘤; 胚胎型大脑后动脉; 术后复发; 血管内治疗; 影响因素
Keywords:
Posterior communicating aneurysm;  Fetal posterior cerebral artery;  Aneurysm recurrence;  Endovascular embolization;  Risk factors
分类号:
R 749.3; R 815.2
DOI:
10.13798/j.issn.1009-153X.2022.04.002
文献标志码:
A
摘要:
目的 探讨合并同侧胚胎型大脑后动脉（fPCA）的后交通动脉动脉瘤（PCoAA）血管内栓塞术后复发的危险因素。方法 回顾性分析2015年1月至2021年1月血管内栓塞治疗的68例合并同侧fPCA的PCoAA的临床资料。术后6个月复查DSA或320-CTA判断动脉瘤复发。结果 68例中，术后复发22例，未复发46例；术后复发率为32.4%（22/68）。多因素logistic回归分析显示，单纯弹簧圈栓塞（OR=10.393；95％CI 1.715~62.967；P=0.011）、术后即刻不完全栓塞（OR=12.097；95％ CI 2.644~55.354；P=0.001）是术后复发的独立危险因素。结论 合并同侧fPCA的PCoAA血管内栓塞术后复发率较高，单纯弹簧圈栓塞、术后即刻不完全栓塞病人术后复发率风险高，需要更为密切的随访。
Abstract:
Objective To analyze the risk factors for aneurysm recurrence of parents with posterior communicating artery aneurysm (PCoAA) associated with ipsilateral fetal posterior cerebral artery (fPCA) after endovascular embolization. Methods The clinical data of 68 patients with PcoAA assocaited ipsilateral fPCA who received endovascular therapy from January 2015 to January 2021 were retrospectively analyzed. The recurrence of aneurysm was determined by DSA or 320-CTA 6 months after surgery. Results Aneurysm recurrence occurred in 22 patients and did not occur in 46 patients. The rate of aneurysm recurrence was 32.4%(22/68). Multivariate logistic regression analysis showed that simple embolisation with coils (OR=10.393; 95％CI 1.715~62.967; P=0.011) and incomplete embolization (OR=12.097; 95％ CI 2.644~55.354; P=0.001) were independent risk factors for aneurysm recurrence. Conclusions The recurrence rate of PCoAA associated with ipsilateral fPCA is high after endovascular embolization. Close follow-up is recommended in the patients who receive simple coil embolization or incomplete embolization because they have a higher risk of recurrence.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：杨　铭，E-mail：yangming3060@sina.com
更新日期/Last Update: 1900-01-01