PROXIMAL BALLOON OCCLUSION FOR DISSECTING VERTEBRAL ANEURYSMS ACCOMPANIED BY SUBARACHNOID HEMORRHAGE

被引：65

作者：

TSUKAHARA, T ^{[1
]}

WADA, H ^{[1
]}

SATAKE, K ^{[1
]}

YAOITA, H ^{[1
]}

TAKAHASHI, A ^{[1
]}

机构：

[1] GUNMA UNIV,SCH MED,DEPT NEUROSURG,MAEBASHI,GUMMA 371,JAPAN

来源：

NEUROSURGERY | 1995年 / 36卷 / 05期

关键词：

DETACHABLE BALLOON; DISSECTING ANEURYSM; ENDOVASCULAR TREATMENT; SUBARACHNOID HEMORRHAGE; VERTEBRAL ARTERY;

D O I：

10.1227/00006123-199505000-00004

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

FIVE PATIENTS WITH spontaneous dissecting vertebral aneurysms presenting with subarachnoid hemorrhage were treated with endovascular proximal balloon occlusion after a successful balloon Matas' test. Occlusion was performed in the extracranial portion of the vertebral artery after the potentially dangerous period of cerebral vasospasm. Two patients rebled preoperatively during the waiting period. Although angiograms demonstrated residual aneurysmal dilatation for four of the five patients, postoperative hemorrhages or progression of the dissection were not observed during the 19- to 48-month follow-up period. Only one patient experienced transient postoperative ischemic complication. Although the timing of the procedure and the site of occlusion remain controversial, proximal balloon occlusion of the vertebral artery appears to be a safe and effective therapy for patients with dissecting vertebral aneurysms presenting with subarachnoid hemorrhages. This method provides an important, less invasive alternative for this condition.

引用

页码：914 / 919

页数：6