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目的探讨老年颅内动脉瘤患者的临床、影像特点和血管内治疗方法的疗效。方法44例60岁以上患者共52个颅内动脉瘤,全部经全脑血管造影明确诊断。针对老年患者路径动脉迂曲、狭窄形成等特点,栓塞时,可采用多种入路,包括股动脉、颈动脉或肱动脉等。采用三维弹簧圈成篮技术、联合支架或球囊重塑形技术等栓塞宽颈动脉瘤和梭形动脉瘤。结果52个动脉瘤有49个被成功实施栓塞术(成功率为94.2%);44例患者术后3个月格拉斯哥预后评分(GOS)良好33例,中残6例,重残3例,死亡2例。结论血管内栓塞治疗适于合并症多、血管条件较差的老年颅内动脉瘤患者。
Objective To investigate the clinical features, imaging features and the efficacy of endovascular treatment in elderly patients with intracranial aneurysm. Methods A total of 44 intracranial aneurysms of 44 patients over the age of 60 were diagnosed by whole cerebral angiography. Pathways for elderly patients with tortuous artery, stenosis formation and other characteristics of embolism, you can use a variety of access, including the femoral artery, carotid artery or brachial artery. Using three-dimensional coil into basket technology, combined stent or balloon reshaping technology embolization wide neck aneurysm and fusiform aneurysm. Results 49 of the 52 aneurysms were successfully embolized (the success rate was 94.2%). Among the 44 patients, the Glasgow Prognosis Score (GOS) was good in 33 cases, moderate disability in 6 cases, severe disability in 3 cases and death in 3 months 2 cases. Conclusion Endovascular embolization is suitable for elderly patients with intracranial aneurysms who have more complications and poor vascular conditions.