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颅内后循环动脉瘤的血管内治疗

魏剑波 谢晓东 王建力 张明 黄志刚 吴科 李冬华 鄢克坤

四川医学2011,Vol.32Issue(9):1326-1327,2.
四川医学2011,Vol.32Issue(9):1326-1327,2.

颅内后循环动脉瘤的血管内治疗

Endovascular therapy of posterior circulation aneurysms

魏剑波 1谢晓东 2王建力 1张明 1黄志刚 1吴科 1李冬华 1鄢克坤1

作者信息

  • 1. 攀枝花市中心医院神经外科,四川攀枝花617067
  • 2. 四川大学华西医院神经外科,四川成都610041
  • 折叠

摘要

Abstract

Objective To analyse retrospectively the effect of 19 cases who had posterior circulation aneurysms and were treated with Endovascular therapy, and to discuss the technique and safety of endovascular therapy in posterior circulation aneurysms. Methods IS patients showed subarachnoid hemorrhage, all were in acute stage. 2 cases showed pulsatile headache and was diagnosed by CTA. 2 patients manifested dystaxia and symptoms of lower cranial nerves. 10 patients were treated with coiling. 7 patients with Neuroform stent assisted coiling. 2 patients had small wide-neck aneurysm of vertebral artery were with Neuroform stent. Results None cases was dead and had complications after operation. 12 patients received complete occlusion,5 patients received 90% occlusion. 2 patients had small wide-neck aneurysm of vertebral artery were treated with stent. DSA was performed in 7 patients,there was no recurrence.2 patients solo-treated with stent was followed up with DSA 2 months latier.and the aneurysm disappeared. Conclusion Endovascular therapy is a valuable and safe method for treatment of posterior circulation aneurysms, balloon remodeling and stent assistant embolization should be performed in wide-necked aneurysms.

关键词

颅内动脉瘤/后循环/血管内治疗

Key words

intracranial aneurysm/posterior circulation/endovascular therapy

分类

医药卫生

引用本文复制引用

魏剑波,谢晓东,王建力,张明,黄志刚,吴科,李冬华,鄢克坤..颅内后循环动脉瘤的血管内治疗[J].四川医学,2011,32(9):1326-1327,2.

基金项目

四川省卫生厅科研资助项目(编号:100352) (编号:100352)

市级应用技术研究与开发资金项目[编号:2010CY-S-1(3)] (3)

四川医学

OACSTPCD

1004-0501

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