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首页> 外文期刊>Acta Neurochirurgica >Rupture during the endovascular treatment of intracranial aneurysms: Outcomes and technical aspects
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Rupture during the endovascular treatment of intracranial aneurysms: Outcomes and technical aspects

机译：颅内动脉瘤的血管内治疗中的破裂：结果和技术方面

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Object: The purpose of this study was to determine the incidence and outcomes of intraprocedural rupture (IPR) during endovascular coil embolization of intracranial aneurysm at a single center and to explore the technical reasons and put forward corresponding preventive measures for the feared event to serve as references for other endovascular specialists. Methods: The aneurysm database in our series was retrospectively reviewed. From April 2005 to March 2009, 176 aneurysms were consecutively treated with coils in 161 patients and IPR occurred in 12 patients. The medical records for the 12 patients were seriously examined. Results: Of the 12 patients (6.8 %), four were men and eight were women with a median age of 56 years. An emergency "rescue clipping" of the lesion was carried out in two patients, parent artery occlusion was performed in two cases, endovascular treatment was terminated in one case and aneurysm coiling was rapidly completed in the remaining seven cases. Complete occlusion was achieved in nine aneurysms and incomplete occlusion in one. One patient died, yielding a mortality rate of 8.3 %. The follow-up duration was 6-30 months (median 14 months) and the mean Glasgow Outcome Scale score at the last follow-up examination was 4.3. Conclusions: The rate of IPR during endovascular coiling of intracranial aneurysms is quite low and the clinical outcome from this complication need not be catastrophic if managed appropriately. Improved operation skill and practical experience exchange among neuroradiologists are essential to lower the incidence or better patient prognoses.
机译：目的：本研究旨在确定单个中心颅内动脉瘤在血管内线圈栓塞过程中的术中破裂（IPR）的发生率和结局，并探讨技术原因并提出相应的预防措施，以使该事件成为可能。其他血管内专家的参考。方法：回顾性分析本系列的动脉瘤数据库。从2005年4月至2009年3月，连续176例动脉瘤被线圈治疗161例，IPR发生12例。认真检查了12名患者的病历。结果：12名患者（6.8％）中，男性为4位，女性为8位，中位年龄为56岁。两名患者进行了紧急的“抢救”病变，两名患者进行了主动脉闭塞，一例终止了血管内治疗，其余七例迅速完成了动脉瘤的缠绕。 9个动脉瘤完全闭塞，其中1个不完全闭塞。一名患者死亡，死亡率为8.3％。随访时间为6-30个月（中位数为14个月），上次随访检查的平均格拉斯哥结局量表评分为4.3。结论：颅内动脉瘤在血管内盘绕过程中IPR发生率很低，并且如果处理得当，这种并发症的临床结局不必是灾难性的。神经放射科医生之间改进的操作技能和实践经验的交流对于降低发病率或改善患者预后至关重要。

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