ENDOVASCULAR OCCLUSION OF VERTEBRAL ARTERIES IN THE TREATMENT OF UNCLIPPABLE VERTEBROBASILAR ANEURYSMS

被引：105

作者：

AYMARD, A ^{[1
]}

GOBIN, YP ^{[1
]}

HODES, JE ^{[1
]}

BIEN, S ^{[1
]}

RUFENACHT, D ^{[1
]}

REIZINE, D ^{[1
]}

GEORGE, B ^{[1
]}

MERLAND, JJ ^{[1
]}

机构：

[1] UNIV PARIS 07,LARIBOISIERE HOSP,DEPT NEUROSURG,F-75221 PARIS 05,FRANCE

来源：

JOURNAL OF NEUROSURGERY | 1991年 / 74卷 / 03期

关键词：

ANEURYSM; ENDOVASCULAR THERAPY; OCCLUSION; POSTERIOR CIRCULATION;

D O I：

10.3171/jns.1991.74.3.0393

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Twenty-one patients with aneurysms of the vertebrobasilar circulation underwent unilateral or bilateral endovascular occlusion of the vertebral artery. Six patients presented with subarachnoid hemorrhage (SAH), 10 with mass effect, four with mass effect and SAH, and one with ischemic symptoms. Thirteen patients had good outcomes with complete clinical and angiographic cure. Six patients had partial thrombosis of their aneurysms. There was one death and one treatment failure. One patient suffered transient stroke. It is concluded that endovascular occlusion of the vertebral artery following test occlusion is a safe and effective treatment for proximal aneurysms of the vertebrobasilar circulation.

引用

页码：393 / 398

页数：6

共 17 条

[1] AYMARD A, 1987, J NEURORADIOLOGY, V14, P1
[2] TRANS-VASCULAR TREATMENT OF GIANT ANEURYSMS OF THE CAVERNOUS CAROTID AND VERTEBRAL ARTERIES - FUNCTIONAL INVESTIGATION AND EMBOLIZATION
BERENSTEIN, A
RANSOHOFF, J
KUPERSMITH, M
FLAMM, E
GRAEB, D
[J]. SURGICAL NEUROLOGY, 1984, 21 (01): : 3 - 12
[3] DEBRUN G, 1981, AM J NEURORADIOL, V2, P167
[4] LIGATION OF VERTEBRAL (UNILATERAL OR BILATERAL) OR BASILAR ARTERY IN TREATMENT OF LARGE INTRACRANIAL ANEURYSMS
DRAKE, CG
[J]. JOURNAL OF NEUROSURGERY, 1975, 43 (03) : 255 - 274
[5] DRAKE CG, 1979, CLIN NEUROSURG, V26, P12
[6] USE OF DETACHABLE BALLOONS FOR PROXIMAL ARTERY-OCCLUSION IN THE TREATMENT OF UNCLIPPABLE CEREBRAL ANEURYSMS
FOX, AJ
VINUELA, F
PELZ, DM
PEERLESS, SJ
FERGUSON, GG
DRAKE, CG
DEBRUN, G
[J]. JOURNAL OF NEUROSURGERY, 1987, 66 (01) : 40 - 46
[7] HALBACH VV, 1987, SEMIN INTERVENT RAD, V4, P261
[8] Higashida R T, 1986, Acta Radiol Suppl, V369, P594
[9] DETACHABLE BALLOON EMBOLIZATION THERAPY OF POSTERIOR CIRCULATION INTRACRANIAL ANEURYSMS
HIGASHIDA, RT
HALBACH, VV
CAHAN, LD
HIESHIMA, GB
KONISHI, Y
[J]. JOURNAL OF NEUROSURGERY, 1989, 71 (04) : 512 - 519
[10] KEMPE LG, 1979, ADV DIAGNOSIS THERAP, P119

← 1 2 →