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血管内介入栓塞治疗破裂前交通动脉瘤47例临床分析

路华 王向鹏 宋海 李智高 黄金 王嘉沪

昆明医学院学报2012,Vol.33Issue(1):98-100,3.
昆明医学院学报2012,Vol.33Issue(1):98-100,3.

血管内介入栓塞治疗破裂前交通动脉瘤47例临床分析

Embolization of Ruptured Anterior Communicating Artery Aneurysms with Detachable Coils in 47 Case

路华 1王向鹏 1宋海 1李智高 1黄金 1王嘉沪1

作者信息

  • 1. 昆明医学院第一附属医院神经外科,云南,昆明,650032
  • 折叠

摘要

Abstract

Objective To investigate the strategies, indications and clinical efficacy of interventional treatment on ruptured anterior communication artery. Method 47 consecutively admitted patients with aneurysm subarachnoid hemorrhage (SAH) following anterior communication artery (Acorn A) aneurysm treated by detachable coils. Results 46 patients were cured and 1 patient was discharged by himself. Complete occlusion of the aneurysm was achieved in 39 patients, near- complete in 8 patients, and stent- assisted coiling in 1 patient. Patients were followed up for 3 months to 1.5 years, and no rebleeding occurred. Conclusion Ruptured Acorn A aneurysms are implicated in majority of cases of SAH and endovascular coiling of ruptured intracranial aneurysms is an efficient procedure, but the long- term effect needs father investigation.

关键词

血管内治疗/蛛网膜下腔出血/前交通动脉瘤

Key words

Endovascular treatment/ Subarachnoid hemorrhage/ Anterior ocmmunication artery aneurysm

分类

医药卫生

引用本文复制引用

路华,王向鹏,宋海,李智高,黄金,王嘉沪..血管内介入栓塞治疗破裂前交通动脉瘤47例临床分析[J].昆明医学院学报,2012,33(1):98-100,3.

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