[1]赵富文,程序曲,支文勇,等.“真正”后交通动脉瘤介入治疗2例报告及文献复习[J].临床神经外科杂志,2018,15(06):466-468.[doi:10.3969/j.issn.1672-7770.2018.06.017]
 ZHAO Fu-wen,CHEN Xu-qu,ZHI Wen-yong,et al.Interventional therapy of true posteripr communicating artery aneurysms(report of 2 cases and review of literature)[J].Journal of Clinical Neurosurgery,2018,15(06):466-468.[doi:10.3969/j.issn.1672-7770.2018.06.017]
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“真正”后交通动脉瘤介入治疗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:
15
期数:
2018年06期
页码:
466-468
栏目:
临床研究
出版日期:
2018-12-15

文章信息/Info

Title:
Interventional therapy of true posteripr communicating artery aneurysms(report of 2 cases and review of literature)
作者:
赵富文程序曲支文勇施振华蔡家晨李健潘耀华
215500苏州,常熟市第二人民医院神经外科(赵富文,程序曲,支文勇,施振华,李健,蔡家晨);上海交通大学医学院附属仁济医院神经外科(潘耀华)
Author(s):
ZHAO Fu-wenCHEN Xu-quZHI Wen-yonget al.
Department of Neurosurgery,the Second Hospital of Changshu,Changshu 215500,China
关键词:
真正后交通动脉动脉瘤大脑后动脉介入治疗
Keywords:
true posteripr communicating artery aneurysmsposterior cerebral arteryinterventional therapy
分类号:
R651.1
DOI:
10.3969/j.issn.1672-7770.2018.06.017
文献标志码:
D
摘要:
【摘要】目的探讨胚胎型后交通动脉及胚胎型大脑后动脉与“真正”后交通动脉瘤的形成关系,以及该类型破裂动脉瘤的介入治疗方法选择的可行性。方法回顾分析常熟市第二人民医院近期2例临床诊断为破裂后交通动脉瘤的临床资料;并检索万方医学网相关文献进行复习。结果2例患者的术前病史、急诊头颅CT为典型的破裂动脉瘤表现,CTA确诊左侧后交通动脉瘤,动脉瘤开口均位于后交通动脉上,且距颈内动脉后交通动脉结合部有一定距离,经术中DSA证实。综合动脉瘤情况选择单纯弹簧圈栓塞,治疗效果满意,术后反应轻,恢复快。结论“真正”后交通动脉瘤多合并胚胎型后交通动脉,合适病例选择介入栓塞治疗效果良好。
Abstract:
Abstrct:ObjectiveTo explore the relationships between the true posterior communicating artery aneurysms and embryonal PCA and PCoA and the possibility of using interventional therapy.MethodsThe clinical data of 2 patients dignosed as PCoA aneurysm were analyzed retrospectively and the literature were reviewed.ResultsThe pre-surgery history of these 2 patients were classical manifestations of erupted PCoA aneurysm by head CT,which were clinically confirmed the left PCoA through head CTA.The base of the aneurysms were located entirely on the PCoA near the combination part of ICA and PCoA,which was clinically confirmed by DSA during the operation.We performed coil embolization therapy according to the locations and sizes of the aneurysms with a decent results.ConclusionThe “true posteripr communicating artery aneurysms” mostly combined with embryonal PCoA and is suitable for the interventional therapy.
更新日期/Last Update: 1900-01-01