神经介入治疗的并发症的探讨

目的回顾性分析神经介入治疗5 0 1例患者,探讨导致各种并发症的相关因素,以避免血管内治疗并发症的发生。方法采用神经介入治疗5 0 1例患者。脑动静脉畸形2 35例,颈内动脉海绵窦瘘14 1例,颅内动脉瘤5 8例,硬脑膜动静脉瘘2 5例,脊髓血管畸形6例,严重鼻出血36例。结果脑血管痉挛12例;球囊早脱移位或早泄10例;微导管断裂或破裂5例;脑过度灌注综合征1例;偏瘫5例;颅神经功能障碍6例;视野模糊3例;动脉瘤术中破裂出血1例;癫痫发作1例,死亡2例。结论为了提高神经介入治疗的治愈率,减少并发症,除应具备熟练的操作技能外,还应根据患者的具体情况,选择合适的栓塞材料及用量,密切监测并合理给予对应药物治疗。

Aspect of the complication for endovascular therapy of the interventional neuroradiology

Objective:To analyse 501 cases for endovascular interventional therapy retrospectively,to determine factors induced various compilcations and to avoid or reduce the incidence of complications.Methods:501 cases including cerebral AVM 235 cases,CCF 141 cases, intracranial aneurysms 58 cases,dural anteriovenous fistula 25 cases,spinal arteriovenous malformation 6 cases,serious epistaxis 36 cases.Results:Complications of 501 cases for interventional neuroradiology therapy include:vasospasm 12 cases,balloon premature detachment or deflation 10 cases,catheter broken 5 cases,normal perfusion pressure breakthrough 1 cases,hemiparalysis 5 cases,aneurysm rupture intraoperations 1 case,death 2 cases.Conclusion:To decrease the complications for endovascular therapy,besides proficient skill,analyse physical condition of each patient,correctly choice of embolism materials and dosage and intensive care the patients condition and medical therapy are required.