【摘要】 目的探讨颅内动脉瘤血管内治疗术中及术后相关并发症及风险防范。方法回顾性分析该院2012年10月—2014年1月血管内栓塞治疗57例患者的围手术期并发症及术后结果。结果术后GOS评分5分42例,4分11例,死亡4例(7%)。围手术期并发症:症状性脑血管痉挛患者17例(41~50岁1例,51~60岁4例,60岁以上12例),弹簧圈脱出2例,脑梗塞1例。TIA反复发作1例,无再通复发及心肺并发症。结论血管内治疗并发症发生率较低,症状性血管痉挛、术中血栓、再通及弹簧圈脱出是常见的并发症,术前良好的沟通及充分的材料准备、术者熟练的操作技巧、术中对动脉瘤充分评估、治疗方案选择及术后积极治疗是治疗成功和减少风险的关键。更多还原

【Abstract】 Objective To discuss the complications of endovascular treatment for patients with intracranial aneurysm and the preventive measures. Methods The perioperative complications and treatment effect of the 57 patients who underwent endovascular embolization treatment in the Department of Neurosurgery of our hospital during October 2012 and January 2014 were retrospectively analyzed. Results After treatment in accordance with GOS score, there were 5 points in 42 cases, 4 points in 11 cases and 4case died(7%). In terms of perioperative complications, there were 17 patients with symptomatic cerebral vasospsm(1 patients, 4patients, 12 patients in three age groups: 41~50, 51~60 and 60 above, respectively), 2 patients with coil protrusion and 1 patient with cerebral infarction. TIA recurrence occurred in on patients, but no recanalization and cardiopulmonary complication were found. Conclusion Endovascular treatment has low rate of complications, the common of which include symptomatic cerebral vasospsm, intraoperative thrombus, recanalization and coil protrusion. The key of the successful treatment and risk reduction are good preoperative communication, sufficient material preparation, skilled surgical techniques, optimization of treatment, full intraoperative assessment for the arterial tumor and positive postoperative treatment.更多还原