血管内治疗颈内动脉血泡样动脉瘤的疗效分析

Efficacy of Endovascular Therapy for Intracranial Blood Blister-Like Aneurysms

评估多支架辅助弹簧圈栓塞颈内动脉血泡样动脉瘤的疗效分析及总结经验.通过回顾分析25例颈内动脉血泡样动脉瘤的临床资料,治疗上均采取弹簧圈栓塞加多支架辅助的方法,在本组25例病人中,都是因蛛网膜下腔出血入院,DSA造影示;血泡样动脉瘤,全部采用多支架辅助弹簧圈栓塞治疗,术后2例因再出血而死亡,其余患者全部出院,随访6～20个月,平均为12个月,术后三个月改良Rankin评分,1分10例,2分5例,4分4例,5分6例.本研究证明多支架辅助弹簧圈栓塞是治疗血泡样动脉瘤的可行方法.

The clinical features are evaluated and experience of the intracranial blood blister- like aneurysms （BBA） with multiple stent - assisted coil embolization summarized. Clinical data of 25 patients with blood blister - like aneurysms of the internal carotid artery are analyzed retrospectively. Medical process and multiple stent - assisted coil embolization are performed for treatment in all the patients who are hospitalized due to subarachnoid hemorrhage, and diagnosed as BBA by DSA. Except that two died from rebleeding, all the patients are discharged. The follow - up ranges from 6 to 20 months, with a mean of 12 months. The modified Rankin scores of patients at 3 month are 1 score in ten cases,2 in five cases, 4 in four cases, and 5 in six cases. The research demonstrates that multiple -stent placement and coil embolization is a safe and effective endovaseular option for blood blister- like aneurysms of the internal carotid artery.