颅内动脉瘤介入栓塞64例并发症分析

目的 探讨动脉瘤介入栓塞术的并发症及处理方法.方法 回顾性分析64例颅内动脉瘤经介入栓塞治疗患者的临床资料,对动脉瘤介入栓塞治疗的并发症进性分析.结果 64例行弹簧圈栓塞动脉瘤手术患者,采取单纯弹簧圈栓塞23例,采用颅内支架结合弹簧圈栓塞16例,采用球囊辅助弹簧圈栓塞9例,采用双导管技术栓塞16例.发生术中动脉瘤破裂2例,脑血栓形成或脑梗死3例,血管痉挛5例.动脉瘤栓塞后无再出血.结论 术前对动脉瘤准确评估、正确运用合适的栓塞材料以及术者临床经验的逐步积累可减少并发症的发生,及时、合理地处理并发症也是治疗成功的关键.

Analysis on complications of interventional embolism in 64 cases of intracranial aneurysm

Objective To investigate the complications and the therapeutic measures of endovascular interventional embolism for intracranial aneurysm.Methods The clinical data of 64 patients with intracranial aneurysm were analyzed retrospectively and the complications of endovascular interventional embolism for treating intracranial aneurysm were analyzed.Results 64 cases underwent the embolism with intravascular coil,23 cases used coils only,16 cases were treated with neuroform stent,9 cases with balloon-assisted and 16 cases with double-catheter technique.2 cases of aneurysms ruptured during embolization,3 cases had cerebral infarction or thrombosis,5 cases occurred cerebral vasospasm.There was no hemorrhage again after embolization.Conclusion Accurate preoperative assessment of aneurysm,the correct use of appropriate Guglielmi Detachable Coil(GDC),and the gradual accumulation of clinical experience can reduce the incidence of complications.The reasonable and timely treatment of complications is the key to treatment success.