目的 探讨基底动脉顶端动脉瘤破裂血管内介入治疗的有效性及安全性.方法 收集2001年1月一2009年12月收治的12例基底动脉顶端动脉瘤破裂患者,其中男5例,女7例,年龄21～58岁,回顾性分析其影像学资料、血管内介入治疗方法和结果.结果 9例窄颈动脉瘤行直接栓塞,3例宽颈动脉瘤利用支架辅助栓塞.8例完全栓塞,4例部分栓塞,术后随访12～36个月,无再出血发生.所有患者恢复良好,均未遗留神经功能缺失.结论 经血管内栓塞治疗基底动脉顶端动脉瘤破裂创伤小且安全、有效.%Objective The present study aims to prove the effectiveness and safety of endovascular interventional therapy for ruptured basilar apex aneurysm. Methods The imaging data, methods of endovascular treatment, and clinical results of 12 patients suffering from ruptured basilar apex aneurysms from January 2001 to December 2009 were retrospectively analyzed. The 12 patients were composed of 5 males and 7 females, and their ages ranged from 21 years to 58 years. Results Nine patients suffered from narrow-necked aneurysms, which were directly embolized. and the other three suffered from wide-necked aneurysms. which were embolized using a microstent. Eight aneurysms were completely embolized. and the other four were partly embolized. No rebleeding occurred within the follow-up period of 12 months to 36 months, and all patients recovered well without neurological defects. Conclusions Therefore, endovascular treatment for ruptured basilar apex aneurysm is a semi-invasive, safe, and effective method.
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