摘要
目的探讨早期血管内栓塞术治疗破裂性后交通动脉瘤的中远期效果。方法对36例患者(36枚)破裂性后交通动脉瘤行早期血管内栓塞术,根据Raymond分级方法评估栓塞效果。制订统一影像学复查计划,术后0.5、1、2、3、5年随访分析中远期疗效。结果 36例患者(36枚)破裂性后交通动脉瘤栓塞成功率为100%。Raymond分级评估显示32例患者为1级,2例为2级,2例3级。5例患者(13.89%)动脉瘤复发(随访0.5年1例,2年1例,3年1例,5年2例),复发后再次破裂1例(2.78%),随访期间无死亡病例。结论早期血管内栓塞术治疗破裂性后交通动脉瘤可有效改善蛛网膜下腔出血患者预后,定期影像学随访复查可及时发现动脉瘤复发及再发,采取有效干预措施有助于防止其继续加重和破裂。
Objective To evaluate the mid-term and long-term effects of early endovascular emboli- zation in treating ruptured posterior communicating artery aneurysm. Methods Early endovascular embolization therapy was carried out in 36 patients with ruptured posterior communicating artery aneurysm （36 aneurysms in total）, and the effects of embolization therapy were evaluated by using Raymond grading method. The unified imaging review program was formulated, and the mid-term and long-term effects were evaluated at half, 1, 2, 3 and 5 years after the treatment. Results The technical success rate was 100% in 36 patients （36 aneurysms in total）. Raymond grading evaluation showed that grade I was seen in 32 patients, grade ]I in 2 patients, and grade m in 2 patients. Recurrence of aneurysm was found in 5 patients （13.89%） at half （n=l）, 2 （n=l）, 3 （n=l） and 5 years （n=2） after the treatment. Re-rupture of the recurrent aneurysm was seen in one patient （2.78%）. No death occurred during the following-up period. Conclusion Early endovascular embolization for ruptured posterior communicating artery aneurysm can effectively improve the prognosis of subarachnoid hemorrhage, and regular imaging examination can promptly detect the recurrence of aneurysm. Effective interventions are helpful for preventing deterioration and rupture of aneurysm.
出处
《介入放射学杂志》
CSCD
北大核心
2015年第10期843-845,共3页
Journal of Interventional Radiology
基金
浙江省医药卫生科技计划项目(2015KYB369)
关键词
血管内栓塞术
后交通动脉瘤
疗效
随访
endovascular embolization
posterior communicating artery aneurysm
efficacy
follow-up
