[1]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):389-393.
 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(05):389-393.
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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()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
14
期数:
2017年05期
页码:
389-393
栏目:
临床研究
出版日期:
2017-10-23

文章信息/Info

Title:
Endovascular management of aneurysm in AICA-PICA variant(report of two cases and review of literature)
作者:
何雪阳张晋宁黄佳欣蔡永辉通讯作者:张晋宁
362000 泉州,福建医科大学附属泉州市第一医院神经外科
Author(s):
HE Xue-yangZHANG Jin-ningHUANG Jia-xinet al.
Department of Neurosurgery,Quanzhou No.1 Hospital Affiliated to Fujian Medical University
关键词:
小脑前下动脉动脉瘤蛛网膜下腔出血血管内治疗载瘤动脉闭塞
Keywords:
anterior inferior cerebellar arteryaneurysmsubarachnoid haemorrhageendovascular treatmentparent artery occlusion
分类号:
R651.1
文献标志码:
D
摘要:
目的:探讨发生在共干变异的小脑前下动脉(AICA)远端动脉瘤的临床特点、治疗及并发症预防。方法:回顾性分析2例合并共干变异的AICA远端动脉瘤破裂出血患者的临床资料。其中1例患者以弹簧圈加ONYX胶栓塞,并闭塞载瘤动脉;另1例患者给予弹簧圈栓塞,并闭塞载瘤动脉。并对相关文献进行复习。结果:2例患者术后均并发小脑梗死,行后颅窝减压术。患者均遗留面、听神经功能障碍,随访半年无明显恢复。其中1例患者在术后5个月行DSA复查,未见动脉瘤复发。结论:对合并共干变异的AICA远端动脉瘤,为减少动脉瘤复发和再出血的风险,在血管内治疗时闭塞载瘤动脉;但可能出现严重的并发症,应慎重考虑。或可保留载瘤动脉通畅,以防止继发小脑梗死及面、听神经功能障碍。
Abstract:
Objective:To explore the clinical characteristics,treatment and complication prevention of anterior inferior cerebellar artery(AICA) aneurysms located at distal part of AICA. Methods The clinical data of 2 female patients with distal AICA aneurysm coexisting with AICA-PICA variant presented with subarachnoid haemorrhage(SAH) and underwent endovascular treatments,were analyzed retrospectively.Coiling for aneurysm and parent artery occlusion were performed in both patients.One patient was treated with ONYX and coiling,the other with coiling alone. Results: Both patients developed cerebellum infarction after the procedure and were managed with posterior fossa decompression.Neurological deficits of hearing loss and facial weakness persisted in both patients.Angiographic follow-up was available in one patient,which revealed no recurrence of the aneurysm. Conclusions:For distal AICA aneurysms with AICA-PICA variant,most of which are dissecting aneurysms,endovascular treatment by aneurysm coiling and parent artery occlusion to prevent recurrence and rehemorrhage of the lesion may cause cerebellum infarction inevitably.Reconstruction of parent artery with stent-assisted coiling is an alternative option in this situation,especially for fusiform aneurysms.

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更新日期/Last Update: 2017-10-10