合并颅内动脉瘤的急性脑动脉闭塞血管内再通治疗的安全性分析（附七例报道）

Safety of intravascular re-canalization of acute cerebral artery occlusion combined with intracranial aneurysms： an analysis of 7 cases

目的探讨合并颅内动脉瘤的急性脑动脉闭塞患者行血管内再通治疗的安全性。方法对河南省人民医院脑血管病诊疗中心自2014年1月至2016年12月收治的7例合并颅内动脉瘤的急性脑动脉闭塞患者行血管内再通治疗，回顾性分析其安全性。结果7例患者均实现了血管成功再通[3例脑梗死溶栓分级（TICI）2b级，4例TICI 3级]，仅1例患者出现由颅内动脉瘤破裂导致的蛛网膜下腔出血，术后90 d随访时4例患者的改良Rankin量表（mRS）评分为0~2分、1例为3分、2例死亡。结论对于合并颅内动脉瘤的急性脑动脉闭塞患者，行血管内再通治疗可能是安全的。

ObjectiveTo investigate the safety of endovascular thrombectomy in acute ischemic stroke patients with pre-existing intracranial aneurysms.MethodsSeven patients with acute ischemic stroke combined with intracranial aneurysms, admitted to and received endovascular treatment in our hospital from January 2014 to December 2016, were chosen. The clinical data and safety were analyzed retrospectively.ResultsAll patients with pre-existing intracranial aneurysms suffered acute large artery occlusion achieved successful endovascular re-canalization, and one patient suffered subarachnoid hemorrhage due to the rupture of aneurysm during the procedure. Three patients had grading 2b of Thrombolysis in Cerebral Infarction （TICI）, and 4 had grading 3 of TICI. Four patients had 0-2 scores of modified Rankin Scale （mRS）, one had 3 scores, and two died.ConclusionEndovascular thrombectomy in acute ischemic stroke patients with pre-existing intracranial aneurysms is safe.