大脑中动脉瘤的血管内介入治疗

doi:10.3969/j.issn.1009-976X.2014.05.031

摘要/Abstract

摘要： 【摘要】〓大脑中动脉瘤是常见的颅内动脉瘤,大脑中动脉解剖关系特殊,其动脉瘤破裂较其他幕上动脉瘤产生的临床症状更加严重,预后更差。随着介入治疗技术的不断发展,世界上很多医疗中心已经将介入栓塞治疗作为动脉瘤的首选治疗方式。然而,大脑中动脉动脉瘤治疗方式尚存争议,选择合适的病例进行治疗是首要的问题。

关键词: 大脑中动脉, 动脉瘤, 介入治疗

Abstract: 【Abstract】〓Middle cerebral artery aneurysm is one of common intracranial aneurysms. Because of the special anatomy of the middle cerebral artery, the symptoms and prognosis of patient with ruptured aneurysm at this location are worse than the other supratentorial aneurysms. With the continuous development of interventional treatment technology,..endovascular detachable coil embolization has increasingly become the preferred treatment modality for intracranial aneurysms in many medical centers of the world. However, the treatment of middle cerebral artery aneurysm remains controversial, the selection of the appropriate patients for treatment is the primary problem.

Key words: Middle cerebral artery, Aneurysms, Endovascular treatment

中图分类号:

R739.41

王宏昭范一木. 大脑中动脉瘤的血管内介入治疗[J]. 岭南现代临床外科, 2014, 14(05): 606-608.

参考文献

[1]Brisman JL，Song JK，Newell DW．Cerebral aneurysms [J]．N Engl J Med，2006，355(9)：928-939．
[2]Rinne J，Shen H，Kivisami R，et a1．Surgical management of aneurysms of the middle cerebral artery//Sohmidek HH，Sweet WH．Operative neurosurgical techniques．indications，methods，and results[M]．4th ed．New York：WB Saunders，2000：159—180．
[3]Ohkuma H，Suzuki S，Shimamura N，et a1．Dissecting aneurysms of the middle cerebral artery：neuroradiological and clinical features[J]．Neuroradiology，2003，45(3)：143-148．
[4]Molyneux AJ，Kerr RS，Birks J，et a1．Risk of recurrent subarachnoid haemorrhage，death，or dependence and standardized mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial(ISAT)：long?term follow-up[J]．Lancet Neurol，2009，8(5)：427-433．
[5] 王志刚，丁璇，曲春城，等．手术夹闭和血管内介入治疗颅内破裂动脉瘤的疗效分析．中华神经外科杂志，2007，23：840-843．
[6] Molyneux AJ，Kerr RS，Yu LM，et a1．International subarachnoid aneurysm trial(ISAT) of neurosursical clipping versus endovaseular coiling in 2143 patients with ruptured intracranial aneurysms：a randomised comparison of effects on survival，dependency，seizures，rebleeding，subgroups，and aneurysm occlusion．Lancet，2005，366：809-817．
[7] Ausman JL The future of neurovascular surgery．Part I：intracranial aneurysms．Surg Neurol，1997，48：98-100．
[8] Regli L，Uske A，de Tribolet N．Endovascular coil placement compared with surgical clipping for the treatment of unruptured middle cerebral artery aneurysms:a consecutive series．J Neurosurg，1999，90:1025-1030
[9] Regli L，Dehdashti AR，Uske A，et a1．Endovascular coiling compared with surgical clipping for the treatment of unruptured middle cerebral artery aneurysms：an update．Acta Neurochir，2002，82(Suppl)：41-46．
[10] 周良辅，陈衔城，郭欢之，等．大脑中动脉瘤的显微外科治疗．中华显微外科杂志，1996，18：242-244．
[11].刘承基主编。脑血管外科学．第１版　.南京：江苏科学技术出版社，2000,103-106
[12]Wiebers DO，Whisnant JP，Huston J 3rd，et a1．for International Study of Unruptured Intracranial Aneurysms Investigators．Unruptured intracranial aneurysms：natural history，clinical outcome，and risks of surgical and endovascular treatment[J]．Lancet，2003，362(9378)：103-110
[13] 张磊，杨鹏飞，黄清海，等。大脑中动脉M1段动脉瘤的血管内治疗[J]。中国脑血管病杂志，2011，8（8）：418-423
[14]Rinne J，Hemesniemi J，Niskanen M，et a1．Analysis of 561 patients with 690 middle cerebral artery aneurysms：anatomic and clinical features as correlated to management
outcome[J]．Neurosurgery，1996，38(1)：2-11．
[15]Yasargil MG．Diagnosis and therapy of cerebrovascular diseases[J]．Schweiz Rundseh Med Prax，1990，79(1／2)：3-8
[16] 毕志刚。大脑中动脉分叉部动脉瘤的血管内栓塞治疗效果分析。中国现代药物应用，2011，5（6）;43-44
[17]Molyneux A，Kerr R。Stratton I，et a1．for International Subarachnoid Aneurysm Trial (ISAT) Collaborative Group． International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial anenrysms：a randomised trial[J]．Lancet，2002．，360(9342)：1267-1274．
[18] Wanke I．Doerfler A．Schoch B．eI a1．Treatment of wide-necked intracranial aneurysms with a self-expanding stent system：initial clinical experience．A,JNR Am J Neuroradiol，2003．24：1192-1199．
[19] 刘建民，周晓平，许奕，等．血管内栓塞治疗颅内宽颈动脉瘤．第二军医大学学报，2001，22：773-775．
[20] Quadros RS，Gallas S，Noudel R。et a1．Endovascular treatment of blood blister—like aneurysms of the internal carotid artery．J Neurosurg，2007，106：812-819．
[21] 陈立朝，刘建民，许奕，等。大脑中动脉分叉处动脉瘤的介入治疗．介入放射学杂志，2004，12增刊：62-65．
[22] 邱胜利，魏建军，张扬，等．水解弹簧圈栓寒治疗大脑中动脉动脉瘤．中国脑血管病杂志，2006，2：462-465．
[23] 梁国标，李志清，魏学忠，等．大脑中动脉动脉瘸的血管内治疗．中国临床神经外科杂志，2007，11：394-396．
[24]刘建民，洪波，许奕，等．血管内支架及电解可脱卸弹簧圈治疗颅内椎动脉梭形动脉瘤[J]．第二军医大学学报，2000，21(11)：1052—1054．
[25]杨志刚，刘建民，许奕，等．新型可回撤自膨胀支架在颅内动脉瘤治疗中的应用[J]．介入放射学杂志，2008，17(7)：459-462．
[26]Kawanabe Y，Sadato A，Taki W，et a1．Endovascular occlusion of intracranial aneurysms with Gugielmi detachable coils：correlation between coil packing density and coil compaction[J]．Acta Neurochir(Wien)，2001，143(5)：451-455．
[27]Wanke l，Forsting M．Stents for intracranial wide-necked aneurysms：more than mechanical protection[J]． Neuroradiology，2008，50(12)：991-998．
[28]杨鹏飞，刘建民，黄清海，等．自膨胀颅内专用支架治疗大脑中动脉宽颈动脉瘤[J]．中国微侵袭神经外科杂志，2009，14(9)：391-394．
[29]Motet J，Cognard C，Weill A，et a1．Reconstruction technic in the treatment of wide-neck intracranial aneurysms．Long-term angiographic and clinical results．Apropos of 56 cases[J]．J Neuroradiol，1997，24(1)：30-44．
[30]Cottier JP，Pasco A，Gallas S，et a1．Utility of balloon- assisted Guglielmi detachable coiling in the treatment of 49 cerebral aneurysms：a retrospective，multicenter study [J]．AJNR Am J Neuroradiol，2001，22(2)：345-351．
[31]Nelson PK，Levy DI．Balloon-assisted coil embolization of wide-necked aneurysms of the internal carotid artery：medium-term angiographic and clinical follow-up in 22 patients[J]．AJNR Am J Neuroradiol，2001，22(1)：19-26．
[32] 臧培卓，石强，梁传声，等。颅内大脑中动脉动脉瘤的介入栓塞治疗。中华神经外科杂志，2009，25：656-658．