颅内破裂动脉瘤血管内介入治疗后再出血危险因素研究进展

Recent progress in the research of rebleeding risk factors of ruptured intracranial aneurysms after endovascular intervention

再出血是颅内破裂动脉瘤最危险的并发症,虽然发生率非常低,但是预后极差,病死率高,需引起高度重视。本文分析了近年与之相关的国内外文献,综合分析了颅内破裂动脉瘤血管内介入治疗后再出血的相关危险因素和机制,以及降低再出血率的措施。

Rebleeding is the most dangerous complication of the ruptured intracranial aneurysms. Although the incidence of rehleeding is very low, its prognosis is very poor with a high mortality. Therefore, serious attention should be paid to its importance. In this paper, the relevant literatures published in recent years both at home and abroad are reviewed, the related rebleeding risk factors and rebleeding mechanisms of ruptured intracranial aneurysms after endovascular intervention are summarized and the useful measures to reduce the rebleeding incidence are suggested. （J Intervent Radiol, 2009, 18： 782-785）