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Hunt-HessⅣ级颅内动脉瘤的早期血管内治疗
引用本文:刘爱华,吴中学,李佑祥,姜除寒,杨新健,张静波. Hunt-HessⅣ级颅内动脉瘤的早期血管内治疗[J]. 中国介入影像与治疗学, 2006, 3(1): 26-28
作者姓名:刘爱华  吴中学  李佑祥  姜除寒  杨新健  张静波
作者单位:北京市神经外科研究所,北京,100050
摘    要:
目的 探讨早期血管内栓塞颅内Hunt-Hess分级Ⅳ级动脉瘤的临床疗效及应用价值。方法 回顾性分析早期血管内栓塞治疗颅内动脉瘤16例16个颅内动脉瘤。结果 16例完全栓塞11例,大部分栓塞5例,1例死亡,并发动脉瘤破裂2例、脑血管痉挛3例、脑梗死2例、4例再次栓塞后痊愈。结论 早期血管内栓塞是治疗颅内Hunt-Hess分级Ⅳ级动脉瘤较理想方法。

关 键 词:颅内动脉瘤  血管内治疗  早期
文章编号:1671-8475(2006)01-0026-03
收稿时间:2005-08-27
修稿时间:2005-10-27

Early endovascular treatment for intracranial Hunt-Hess grade Ⅳ aneurysms
LIU Ai-hu,WU Zhong-xue,LI You-xiang,JIANG Chu-han,YANG Xin-jian and ZHANG Jing-bo. Early endovascular treatment for intracranial Hunt-Hess grade Ⅳ aneurysms[J]. Chinese Journal of Interventional Imaging and Therapy, 2006, 3(1): 26-28
Authors:LIU Ai-hu  WU Zhong-xue  LI You-xiang  JIANG Chu-han  YANG Xin-jian  ZHANG Jing-bo
Affiliation:Beijing Neurosurgical Institute, Beijing 100050, China;Beijing Neurosurgical Institute, Beijing 100050, China;Beijing Neurosurgical Institute, Beijing 100050, China;Beijing Neurosurgical Institute, Beijing 100050, China;Beijing Neurosurgical Institute, Beijing 100050, China;Beijing Neurosurgical Institute, Beijing 100050, China
Abstract:
Objective To discuss the clinical therapeutic effect and value of early endovascular treatment for intracranial hunt-Hess grade Ⅳ aneurysms. Methods A retrospective analysis of 16 patients with 16 intracranial aneurysms were treated with microcoils in early period. Results Among 16 aneurysms, 11 aneurysms were completely occluded, 5 were partially occluded. One case died after the embolization, two cases had cerebral infarction, 3 cases had cerebral vasospasm, 4 recurring cases were cured by the second microcoils embolization. Conclusion Early endovascular embolization with microcoils is a good choice for Hunt-Hess grade Ⅳ aneurysms.
Keywords:Intracramial aneurysm   Endovascular treatment   Early stage
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