【摘要】 一例28岁女性患者因“突发头痛伴呕吐1天”入院。颅脑CT平扫提示蛛网膜下腔出血。数字减影血管造影检查提示左侧大脑前动脉A1段远侧大型动脉瘤。急诊全身麻醉下行支架辅助动脉瘤栓塞术,术毕即刻动脉瘤完全栓塞,栽瘤动脉通畅。术后3个月随访发现动脉瘤明显复发。随后通过双侧胼周动脉A3-A3搭桥后再次行动脉瘤及载瘤动脉栓塞治疗,取得满意疗效。更多还原

【Abstract】 A 28-year-old female patient was admitted to the Second Affiliated Hospital,Zhejiang University School of Medicine,with sudden headache and vomiting for 1 day.CT scan conducted at emergency revealed subarachnoid hemorrhage,whereas digital subtraction angiography demonstrated a wide-neck aneurysm located at A1 segment of the left anterior cerebral artery.The aneurysm was totally coiled using stent assistance,which,however,was recanalized at 3 month follow-up.This patient was then subjected to aneurysm and parent artery occlusion after bypass of the bilateral A3 segments,who recovered well and discharged without ischemic complications.更多还原