[1]张彦冰,管 生,郭新宾,等.颅内动脉瘤介入治疗围术期缺血并发症病因分析与防治（附48例报告） [J].介入放射学杂志,2017,(04):291-295.
　ZHANG Yanbing,GUAN Sheng,GUO Xinbin,et al.Etiology analysis and prevention of cerebral ischemic complications occurring in perioperative period of interventional therapy for intracranial aneurysms： a report of 48 cases[J].journal interventional radiology,2017,(04):291-295.
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颅内动脉瘤介入治疗围术期缺血并发症病因分析与防治（附48例报告）
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年04期
页码:
291-295
栏目:
神经介入
出版日期:
2017-04-25

文章信息/Info

Title:
Etiology analysis and prevention of cerebral ischemic complications occurring in perioperative period of interventional therapy for intracranial aneurysms： a report of 48 cases
作者:
张彦冰;  管 生;  郭新宾;  徐浩文;  权 涛;  陈 振
Author(s):
ZHANG Yanbing;  GUAN Sheng;  GUO Xinbin;  XU Haowen;  QUAN Tao;  CHEN Zhen
Department of Neurointervention， First Affiliated Hospital， Zhengzhou University， Zhengzhou， Henan Province 450052， China
关键词:
【关键词】 颅内动脉瘤;  血管内治疗;  梗死;  缺血
文献标志码:
A
摘要:
【摘要】 目的 分析颅内动脉瘤介入治疗围手术期缺血并发症病因与防治方法。方法 回顾2011年1月至2015年3月郑州大学第一附属医院1 106例颅内动脉瘤介入术中确诊的48例缺血并发症患者临床与影像学资料，分析缺血并发症相关因素、治疗方案及可能的预防方法，术后3个月采用改良Rankin量表（mRS）评分评价神经功能恢复状况。结果 48例缺血并发症发生原因依次为脑血管痉挛/微栓子清除障碍（19例）、血栓栓塞（16例）、栓塞治疗影响瘤囊或附近穿支或远端血流（6例）、术中低血压（4例）、脑水肿（3例），经强化抗凝、抗血小板聚集、抗痉挛、升压药物及血管内介入等综合治疗后3个月随访，34例（70.8%）mRS评分≤2（未遗留严重后遗症），14例（29.2%）＞2（预后不良）。结论 颅内动脉瘤介入治疗时发生缺血的病因复杂，需要介入围术期个体化抗凝、抗血小板聚集、抗痉挛等管理。对手术操作相关并发症，可通过介入补救处理及提高技术水平有效预防。

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备注/Memo

备注/Memo:
（收稿日期：２０１6-1０-21）
（本文编辑：边 佶）
更新日期/Last Update: 2017-04-11