血管内介入栓塞治疗颅内动脉瘤的并发症

The complications in the endovacular embolization treatment of intracranial aneurysms

目的 着重讨论微弹簧圈栓塞治疗颅内动脉瘤的并发症及其发病机制。方法 回顾总结血管内栓塞治疗颅内动脉瘤 4 8例。结果 10 0 %闭塞 2 5例、90 %闭塞 18例、80 %闭塞 5例。术后并发症8例 :微弹簧圈移位 2例 ,术中动脉瘤破裂 3例 ,严重血管痉挛 3例 ,死亡 2例。结论 血管内栓塞动脉瘤腔是一种微创、安全、有效治疗动脉瘤的方法。选择正确的技术和方法对改善动脉瘤栓塞治疗效果 ,减少并发症有重要意义。

Objective Discuss the complications and its mechanisms of the endovascular embolization treatment of intracranial aneurysms. Methods 50 aneurisms of 48 patients were treated by using detachable coils embolizaiton. Results 25 aneurisms were 100% occluded;18 aneurysms were 90% occluded and 5 aneurysm were only 80% occluded.3 patients have different degree of headache and two patients shows the coil escaping from the sac of the aneurysm and suspending in the parent artery of the aneurysm. Two patients sufferre-rupturing of aneurysm in the operation.Two patients died.one was due to re-rupturing of aneurysm and another was serious bleeding in digestive tube. Conclusions The endovascular embolization is a minimal traumatic,safe and effective method of treating intracranial aneurysms. choosing exactly techniques is very improtant to improve the curative effect and decrease the complications of embolization of intracranial aneurysms.