破裂颅内动脉瘤的超早期血管内介入治疗-NewCenturySciencePress.PDF

/index.php/gjccd Global Journal of Cardiovascular and Cerebrovascular Diseases，2013,Vol.1,No.1 Endovascular treatment of ruptured intracranial aneurysms in super-early stage. LU Wang-sheng, HUI Rui, WANG Peng, Chang Hong-bo, Jia Bo, Zheng Chun-ling, Qian Ling-ling, Liu Xiao-han, Sun Yan-jie, Tian Zeng-min, Zhang Jian-ning Neurosurgical institute of People’s Liberation Army, Navy General Hospital, Beijing 100048, China Received: Oct 12, 2013 Accepted: Nov 11, 2013 Published: Dec 22, 2013 This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Objective:To explore the clinic significance of endovascular treatment of ruptured intracranial aneurysms in super-early stage. Methods : Endovascular treatment of 53 cases of ruptured intracranial aneurysms,including first ruptured in 42 cases and 11 cases of ruptured twice, were performed using GDC and stent assisted GDC embolization, 29 cases in 2 days and 24 cases in more than two days after ruptured. And it was divided into the ultra-early group and the non-ultra-early group. The locations of aneurysms were as following: 20 cases in posterior communicating artery, 15 cases in anterior communicating artery, 3 cases in Ophthalmic artery, 4 cases in internal carotid artery, 6 cases in vertebral artery, and 3 cases in posterior inferior cerebellar artery; Hess-Hunt grade was as follows: 9 cases of grade Ⅰ, 25 cases of grade Ⅱ,13 cases of grade Ⅲ, 6 cases of grade Ⅳ.Results: According to the investigation among 59 aneurysms from 6 months to 60 months after operation, good recovery rate of the ultra-early group and the non-ultra-early group were respectively 96.55% and 79.17%.There was a significant difference be