基底动脉主干旁及其分支起始部动脉瘤的血管内治疗.pdfVIP

．662· 生堡挫经!E鞋盘查垫!!生!旦筮垫鲞筮!期!!堕』!业坚!垡：』尘垫12，篁些垫：坠! ．脑血管病． 基底动脉主干旁及其分支起始部 动脉瘤的血管内治疗 于金录许冰许侃王宏磊王柏罗祺 【摘要】 目的探讨基底动脉主干旁及其分支起始部动脉瘤的血管内治疗特点及结果。方法 动脉瘤病例14例。其中合并其他病变者7例。囊性动脉瘤12例，采并I弹簧圈栓寒治疗，保留载瘤动 脉，必要时辅以支架或球囊；梭形及夹层动脉瘤2例，栓塞动脉瘤时闭塞载瘤动脉。对于伴随疾病根 据术中情况进行处理。结果术后随访1—2年。预后良好者12例，DSA复查未见复发；再出血而死 亡者2例。结论对于基底动脉主干旁及其分支起始部动脉瘤应积极进行血管内治疗，以防破裂出 血引发严莺的后果，若治疗得当呵获得较好的效果。 【关键词】基底动脉；动脉瘤；分支；血管内治疗 Endovasculartreatmentof frombasilar trunkand aneurysmsarising artery branches彤Jin-lu．XU First Bing，XUKan，WANGIlong-let，WANGBat，LUOQi．Department矿Neurosurgery，theHospitalof Jilin Unitersity，Chongchun130021，Chinn author：LUO CorrespondingQi．Emad：￡uo弧@血．edu．CH, To the characteristicsand aboutthe Objective 【Abstract】 study therapeutic experience endovaseulartreatmentofbasilar andbranch included14 aneurysms．Methods artery(BA)trunk Subjects withBAtrunkandbranch 7 withassociatedotherdiseases．12 patients aneurysms，includingpatients berry were endovascularcotl with8tentorhalloonassistancewhen aneurysmsgiven embolization，together 2 andfusiform occlusian．Associated necessary，meanwhiledissecting aneurysmswe伸舀venparentartery diseaseswere inthesecond treatedwith knife managedintraoperatively，orstage，or gammaradiotherapy，or followed The wasfroml 2 withunsuccessfuI up．R∞ults foIlow—up to pe,4ed years．Twopatients embolizationdiedof atthe Tlle 12 outcomesand re—rupture report