摘要
Abstract
Objective To investigate the management methods and the different outcomes of the aneurysm rupture during endovascular treatment of intracranial aneurysms.Methods A total of 877 patients with intracranial aneurysm were treated with endovascular method from June 2007 to June 2011 were analyzed retrospectively,742 patients underwent coil packing therapy alone and 135 underwent stent-assisted coil embolization.A total of 23 patients had intraoperative aneurysm rupture.Quick packing were performed after aneurysm rupture.Then they were treated with simple drug therapy,lumbar cistern drainage or hematoma evacuation,respectively.Clinical follow-up study was conducted at six months after discharge.Results The intraoperative bleeding rate of the simple coil packing was 1.9％ (14/ 742),and it was lower than that of the stent-assisted embolization (6.7％,9/135).The difference was statistically significant (x2 =10.218,P =0.01).Of the 23 patients with intraoperative aneurysm rupture,10 underwent hematoma evacuation,5 survived and 5 died; 7 received lumbar cistern drainage,5 survived and 2 died; 6 received simple drug treatment and all survived.A total of 13 patients were followed up at six months after procedure.The modified Rankin Scale (mRS) scores were 0 in 4 cases,1 in 2 cases,2 in 2 cases,3 in 4 cases,and 4 in 1 case.Conclusion The mortality was high in the intraoperative bleeding during endovascular treatment of intracranial aneurysms.The prognosis of patients underwent hematoma evacuation was poor.关键词
颅内动脉瘤/血管内治疗/动脉瘤,破裂/颅内出血/临床分析Key words
Intracranial aneurysm/Endovascular treatment/Aneurysm, ruptured/Intracranial hemorrhages/Clinical analysis
