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目的分析和总结后循环基底动脉顶端动脉瘤介入栓塞治疗的安全性和有效性。方法回顾性分析2008年11月至2015年3月介入栓塞治疗21例基底动脉顶端动脉瘤患者临床资料。术前均经DSA检查证实为基底动脉顶端动脉瘤,Hunt-Hess动脉瘤临床分级0~Ⅱ级12例,Ⅲ~Ⅳ级9例。单纯弹簧圈栓塞16例,支架辅助弹簧圈栓塞5例。结果 17例完全致密栓塞(100%栓塞),4例接近完全栓塞(95%栓塞),术中无动脉瘤破裂。根据Glasgow预后量表(GOS)评分,术前15分、13~14分、9~12分、3~8分者分别为9例、3例、2例、7例,术后15分、13~14分、3~8分者分别为13例、5例、3例。18例患者术后随访6~48个月,15例无复发,2例于术后6个月,1例于术后12个月复发。全部患者均无再出血。结论介入栓塞术是治疗基底动脉顶端动脉瘤的安全有效方法。
Objective To analyze and summarize the safety and efficacy of posterior embolization of aortic aneurysms posterior circulation. Methods The clinical data of 21 patients with basilar artery aneurysm involved in embolization from November 2008 to March 2015 were retrospectively analyzed. Preoperative DSA confirmed by the top of the basilar artery aneurysm, Hunt-Hess aneurysm clinical grade 0 ~ Ⅱ 12 cases, Ⅲ ~ Ⅳ grade 9 cases. Simple coil embolization in 16 cases, stent-assisted coil embolization in 5 cases. Results 17 cases of complete embolization (100% embolization), 4 cases of nearly complete embolization (95% embolization), intraoperative aneurysm rupture. According to the Glasgow Outcome Scale (GOS), there were 9 cases, 3 cases, 2 cases, 7 cases, 15 points after operation, 13 points after operation, 13 to 14 points, 9 to 12 points and 3 to 8 points respectively ~ 14 points, 3 to 8 points were 13 cases, 5 cases, 3 cases. Eighteen patients were followed up for 6 to 48 months, 15 patients had no recurrence, 2 patients had 6 months after operation and 1 patient had relapsed 12 months after operation. All patients had no further bleeding. Conclusion Interventional embolization is a safe and effective method for the treatment of the aneurysm of the basilar artery.