血管内介入治疗过程中并发颈内动脉痉挛的处理

Management of Vasospasam of Internal Carotid Artery Complicated by Endovascular Treatment

目的:探讨在血管内介入治疗过程中出现颈内动脉痉挛的可能原因及处理措施。方法:回顾性分析41例颅内动脉瘤、12例颅内血管畸形及63例颅内肿瘤进行介入栓塞及介入化疗病史资料,分析22例颈内动脉明显痉挛的治疗方法、治疗结果和血管痉挛发生的可能原因。结果:22例出现颈内动脉痉挛病人经过治疗后均恢复正常,未遗留后遗症。结论: 回撤导管及动脉内持续灌注罂(?)碱盐水或(和)尿激酶能够有效使痉挛血管恢复正常,导管刺激血管壁可能是引起颈内动脉痉挛的主要原因。

Objectyive： To investigate the reason and management of vasospasm of internal carotid artery（ICA） complicated by endovascular treatment for intracranial vascular.Methods： Retrospectively analyse the treatment methods and results for 22 cases of obviously vasospasam of ICA in endovascular treatment for 41 cases of intracranial aneurysms, 12 cases of intracranial vascular malformation and 63 cases of intracranial tumors, and analyzing the possible reasons for vasospasm of ICA. Results： All of the 22 cases of ICA vasospasm have a good outcomes and did not remain any sequelae after treatment. Conclusion：The vascular spasam could recover normally by continue intraarterial perfusion of Papaverine and/or Urokinase and by retract catheter. Mechanical irritation for the vessel wall of ICA may be the major reasons causeing vasospasm.