[1]何雪阳,张晋宁,蔡永辉,等.烟雾病合并动脉瘤栓塞治疗6例及文献复习[J].临床神经外科杂志,2017,14(01):52-54.
 HE Xue-yang,ZHANG Jin-ning,CAI Yong-hui,et al.Endovascular treatment of intracranial aneurysms associated with moyamoya disease[J].Journal of Clinical Neurosurgery,2017,14(01):52-54.
点击复制

烟雾病合并动脉瘤栓塞治疗6例及文献复习()
分享到:

《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
14
期数:
2017年01期
页码:
52-54
栏目:
论著
出版日期:
2017-02-08

文章信息/Info

Title:
Endovascular treatment of intracranial aneurysms associated with moyamoya disease
作者:
何雪阳张晋宁蔡永辉黄佳欣
362000 福建医科大学附属泉州第一医院神经外科
Author(s):
HE Xue-yangZHANG Jin-ningCAI Yong-huiet al.
Department of Neurosurgery,Quanzhou No.1 Hospital,Fujian Medical University,Quangzhou 362000,China
关键词:
动脉瘤烟雾病血管内治疗
Keywords:
intracranial aneurysmMoyamoya diseaseendovascular treatment
分类号:
R651.1
文献标志码:
A
摘要:
目的:探讨烟雾病(MMD)合并颅内动脉瘤的血管内介入治疗的特点及经验。方法:回顾性分析2007年5月~2015年6月期间6例烟雾病合并动脉瘤栓塞患者的临床资料及影像学表现。以脑实质内出血发病的3例患者中,2例患者考虑为合并非责任动脉瘤,行单纯栓塞;1例患者考虑为假性动脉瘤,为出血责任病灶,应用20%Glubran闭塞动脉瘤并载瘤动脉。1例未出血的眼动脉瘤患者行支架辅助弹簧圈栓塞治疗。2例表现蛛网膜下腔出血的患者,急诊行CTA检查示颅底动脉环附近动脉瘤,行单纯栓塞治疗。结果:6例患者手术均取得成功,5例弹簧圈栓塞患者中,1例取得致密栓塞,随访结果良好。结论:对于烟雾病合并动脉瘤患者,因烟雾病有容易发生缺血并发症的风险,选择血管内栓塞治疗的效果是确切的,相对于开颅动脉瘤夹闭术是安全的。
Abstract:
Objectives:To discuss the endovascular management strategies and experiences of the intracranial aneurysm associated with moyamoya disease(MMD). Methods:The clinical and angiographic records of 6 patients diagnosed as the intracranial aneurysm associated with moyamoya disease were retrospectively reviewed.Of 3 patients presented with intracranial hematoma, incidental aneurysm was found in 2 patients.Each was treated with conventional embolization. One pseudoaneurysm was found to be blame for hematoma in the third patient and was occluded by internal trapping with 20%Glubran. The patient with asymptomatic ophthalmic aneurysm was treated with stent assisted coiling successfully. For 2 patients with SAH, ruptured aneurysm along the territory of Willis circle was shown by CTA and was embolized emergently. Results:6 patients surgical success.Of 5 patients with coilings, 1 reached complete obligation and maintained stable at follow-ups. Conclusions:Considering the high risk for periprocedural ischemic events with moyamoya disease, endovascular treatment for intracranial aneurysm associated with moyamoya disease is efficacious, and might be a safer option compared with microneurosurgery.

相似文献/References:

[1]陈军,李爱民,陈震.脑血流重建术治疗出血型烟雾病[J].临床神经外科杂志,2016,(01):21.
[2]周平,邓燕,王辉,等.磁共振灌注成像在联合血管重建术治疗烟雾病中的应用[J].临床神经外科杂志,2016,(03):197.
 ZHOU Ping,DENG Yan,WANG Hui,et al.The value of MR perfusion imaging in treatment of moyamoya disease treated by combined revascularization[J].Journal of Clinical Neurosurgery,2016,(01):197.
[3]蔡瑜,顾威庭,李锋,等.间接血管重建术治疗成人烟雾病[J].临床神经外科杂志,2016,(06):439.
 CAI Yu,GU Wei-ting,LI Feng,et al.Appliction of encephalo-duro-arterio-synangiosis in treatment of adults Moyamoya disease[J].Journal of Clinical Neurosurgery,2016,(01):439.
[4]范宏军,黄永凯,罗伟,等.小脑后下动脉动脉瘤的显微外科治疗[J].临床神经外科杂志,2017,14(01):35.
 FAN Hong-jun,HUANG Yong-kai,LUO Wei,et al.Microsurgical treatment of the posterior inferior cerebellar aneurysms[J].Journal of Clinical Neurosurgery,2017,14(01):35.
[5]张茂,陈健龙,彭浩,等.经颅多普勒检测破裂脑动脉瘤栓塞术后脑血管痉挛的临床应用[J].临床神经外科杂志,2017,14(03):174.
 ZHANG Mao,CHEN Jian-long,PENG Hao,et al.Clinical application of TCD in detecting cerebral vasospasm after embolization of ruptured intracranial aneurysms[J].Journal of Clinical Neurosurgery,2017,14(01):174.
[6]何雪阳,张晋宁,黄佳欣,等.小脑前下动脉-小脑后下动脉共干复合体动脉瘤2例报告及文献复习[J].临床神经外科杂志,2017,14(05):389.
 HE Xue-yang,ZHANG Jin-ning,HUANG Jia-xin,et al.Endovascular management of aneurysm in AICA-PICA variant(report of two cases and review of literature)[J].Journal of Clinical Neurosurgery,2017,14(01):389.
[7]朱辰路,明智绪,李东蛟,等.颈内动脉-后交通段动脉瘤的血管内治疗临床研究[J].临床神经外科杂志,2018,15(05):349.[doi:10.3969/j.issn.1672-7770.2018.05.008]
 ZHU Chen-lu,MING Zhi-xu,LI Dong-jiao,et al.Clinical study on internal carotid artery-posterior communication artery aneurysm[J].Journal of Clinical Neurosurgery,2018,15(01):349.[doi:10.3969/j.issn.1672-7770.2018.05.008]
[8]朱辰路,明智绪,冯进,等.LVIS支架在颈内动脉-后交通段动脉瘤中的应用[J].临床神经外科杂志,2019,16(1):45.[doi:10.3969/j.issn.1672-7770.2019.01.010]
 ZHU Chen-lu,MING Zhi-xu,FENG Jin,et al.Application of LVIS stents in treatment of carotid artery-posterior segment aneurysms[J].Journal of Clinical Neurosurgery,2019,16(01):45.[doi:10.3969/j.issn.1672-7770.2019.01.010]
[9]孙际典,曹杨,王清河,等.血管内治疗床突旁动脉瘤的方法选择及疗效分析[J].临床神经外科杂志,2019,16(1):49.[doi:10.3969/j.issn.1672-7770.2019.01.011]
 SUN Ji-dian,CAO Yang,WANG Qing-he,et al.Methods and curative effect of endovascular treatment for paraclinoid aneurysm[J].Journal of Clinical Neurosurgery,2019,16(01):49.[doi:10.3969/j.issn.1672-7770.2019.01.011]
[10]胡孟庆,刘方军,钱海,等.显微缝合技术在治疗大脑中动脉分叉动脉瘤中的应用[J].临床神经外科杂志,2019,16(3):223.[doi:10.3969/j.issn.1672-7770.2019.03.009]
 HU Meng-qing,LIU Fang-jun,QIAN Hai,et al.Application of microsuture technique in treatment of middle cerebral artery bifurcation aneurysms[J].Journal of Clinical Neurosurgery,2019,16(01):223.[doi:10.3969/j.issn.1672-7770.2019.03.009]

更新日期/Last Update: 2017-02-15