Endovascular intervention of intradural hemorrhage from ruptured spontaneous vertebral artery dissection.

IF 1.3
Neurosciences (Riyadh, Saudi Arabia) Pub Date : 2013-01-01
Rui Xu, Wei Liu, Jian-Long Li, Xin Liu, Da-Peng Hao, Tong Zhang
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Abstract

Objective: To study the therapeutic effect of endovascular treatment for intradural hemorrhage from ruptured spontaneous vertebral artery dissections (SVAD) using Guglielmi detachable coils and mechanical coils.

Methods: The retrospective study was carried out in the Department of Interventional Radiology, Rizhao People`s Hospital, Rizhao, China from January 2008 to December 2011. Twelve patients with intradural hemorrhage from ruptured SVAD underwent endovascular embolization treatment after imaging and clinical evaluation. The aneurysm lumen and the parent artery were embolized with Guglielmi detachable coils and mechanical coils. Guglielmi detachable coils were used to embolize the aneurysm lumen and the parent artery adjacent to the aneurysm. Mechanical coils were used to embolize the parent artery.

Results: All lesions were proximal to the posterior inferior cerebellar artery origin. All patients had successful outcomes without any other complications. Angiograms immediately after embolization demonstrated complete occlusions. There were no patient deaths during the study. All cases resulted in complete occlusions, and no rebleeding or ischemia occurred during the 6-36 month follow-up period.

Conclusion: Endovascular intervention with Guglielmi detachable coils and mechanical coils is a safe and efficacious method for treating intradural hemorrhage from ruptured SVAD.

自发性椎动脉夹层破裂所致硬膜内出血的血管内介入治疗。
目的:探讨Guglielmi可拆卸线圈与机械线圈在血管内治疗自发性椎动脉夹层破裂(SVAD)硬膜内出血的疗效。方法:对2008年1月至2011年12月在日照市人民医院介入放射科进行回顾性研究。经影像学和临床评价,12例SVAD破裂硬膜内出血患者行血管内栓塞治疗。采用古列尔米可拆卸线圈和机械线圈栓塞动脉瘤腔和载动脉。Guglielmi可拆卸线圈用于栓塞动脉瘤腔和动脉瘤附近的载动脉。用机械线圈栓塞母动脉。结果:所有病变均位于小脑后下动脉近端。所有患者均取得成功,无其他并发症。栓塞后立即血管造影显示完全闭塞。研究期间没有患者死亡。所有病例均出现完全闭塞,随访6 ~ 36个月无再出血或缺血发生。结论:Guglielmi可拆卸线圈联合机械线圈介入治疗SVAD破裂硬膜内出血是一种安全有效的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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