颅内动脉瘤栓塞治疗并发症的分析

Analysis of the complications during embolization of intracranial aneurysms

目的探讨颅内动脉瘤栓塞并发症发生的原因及处理方式。方法用弹簧圈栓塞治疗颅内动脉瘤72例,其中发生并发症7例,就并发症发生原因、预防及处理方法进行回顾性分析。结果并发症7例;合并发生有血管痉挛者7例;术中动脉瘤破裂3例;脑梗塞2例,其中弹簧圈部分脱出1例,血栓形成1例。结论血管内栓塞治疗动脉瘤是一种安全,有效,微创的方法。栓塞技术的提高,对重视采取预防措施是能够降低并发症发生的。

Objective To discuss how to prevent and manage the complications during embolization of intracranial aneurysms. Methods 72 patients with aneurysm were embolized by mierocoil, but 7 patients had complication. The reasons, prevention and management of the complications were reviewed. Results The complications occurred in 7 patients, including vasospasrn in 7 patients, re-rupturing of aneurysms in 3 during embolization, the coils escaping from the aneurysm sac into its parent artery in one, thrombosing in one. Conclusions The endovascular embolization is a safe , effective and micro-invasive method to manage intracranial aneurysms. The complications of embolization for intraeranial aneurysms can be decreased by improving embolizing techniques.