Analysis of the Causes, Prevention and Treatment of Hemorrhage During Coil Embolization for Intracranial Aneurysm_West China Medical Journal

Authors：

XIAO Bing ¹ , SONG Jianqiong ² , LIU Chunping ³ , LIU Yi ⁴ , CAI Hong ⁴ , CHEN Zhong. ⁴

1. Department of Interventional Radiology; 2. Department of Function; 3. Department of Neurology; 4. Department of Neurosurgery; Dazhou Central Hospital, Dazhou, Sichuan 635000, P. R. China;

Corresponding author：

Keywords：

颅内动脉瘤; 弹簧圈; 栓塞; 术中出血

DOI：

10.7507/1002-0179.20130110

Video：

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目的　分析颅内动脉瘤弹簧圈栓塞治疗术中出血的原因和防治对策。方法　回顾性分析2003年3月－2012年8月358例颅内动脉瘤采用弹簧圈栓塞治疗患者，7例弹簧圈栓塞过程中出血，并继续栓塞止血。2例为弹簧圈栓塞中造影仅见血流明显变慢，术后CT证实的出血。术后对症治疗6例，开颅引流减压3例。结果　9例术中破裂者中8例致密栓塞，1例部分栓塞。5例恢复好，1例一过性动眼神经麻痹，3例死于颅内高压结论　术中出血与手中操作、动脉瘤形态和患者血管条件、血压变化有关，继续填塞及合理术中与后续治疗可以挽救大部分患者生命。

Citation： XIAO Bing,SONG Jianqiong,LIU Chunping,LIU Yi,CAI Hong,CHEN Zhong.. Analysis of the Causes, Prevention and Treatment of Hemorrhage During Coil Embolization for Intracranial Aneurysm. West China Medical Journal, 2013, 28(3): 334-337. doi: 10.7507/1002-0179.20130110 Copy

1.	Molyneux A, Kerr R, Stratton I, et al. Internationgal Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patienta with ruptured intracranial aneurysms: a randomized trial[J]. Lancet, 2002, 360(9342): 1267-1274.
2.	Molyneux AJ, Kerr RS, Yu LM, et al. Internationgal Subarachnoid Aneurysm Trial (ISAT) Collaborative Group: internationgal subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patienta with ruptured intracranial aneurysms: a randomized comparison of effects on surviaval,dependency, seizures, rebleeding, subgroup, and aneurysms occlusion[J]. Lancet, 2005, 366(9488): 809-817.
3.	Brisman J L, Niimi Y, Song J K, et al. Aneurysmal rupture during coiling:low incidence and good outcomes at a single large volume center[J]. Neurosurgery, 2008, 62 (6Suppl 3): 1538-1551.
4.	邓其峻, 廖旭兴, 钟伟健, 等.颅内动脉瘤血管内介入栓塞治疗术中出血的防治[J]. 广东医学, 2011, 32(1): 90-92.
5.	潘奇, 刘建民, 许弈, 等. 颅内破裂动脉瘤栓塞术后早期破裂再出血危险因素分析[J]. 介入放射学杂志, 2010, 19(2): 95-100.
6.	李明华, 刘建民, 许奕, 等. 颅内动脉瘤的电解脱弹簧圈栓塞治疗[J]. 上海医学, 2000, 23(9): 535-539.
7.	李铁林. 脑动脉瘤血管内栓塞治疗的若干经验[J]. 神经精神疾病杂志, 2001, 27(3): 235-236.
8.	Batjer H, Semson D. Intraoperative aneurismal rupture: incidence, outcome and suggestions for surgical management[J]. Neurosurgery, 1986, 18(4): 701.

1. 　Molyneux A, Kerr R, Stratton I, et al. Internationgal Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patienta with ruptured intracranial aneurysms: a randomized trial[J]. Lancet, 2002, 360(9342): 1267-1274.
2. 　Molyneux AJ, Kerr RS, Yu LM, et al. Internationgal Subarachnoid Aneurysm Trial (ISAT) Collaborative Group: internationgal subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patienta with ruptured intracranial aneurysms: a randomized comparison of effects on surviaval,dependency, seizures, rebleeding, subgroup, and aneurysms occlusion[J]. Lancet, 2005, 366(9488): 809-817.
3. 　Brisman J L, Niimi Y, Song J K, et al. Aneurysmal rupture during coiling:low incidence and good outcomes at a single large volume center[J]. Neurosurgery, 2008, 62 (6Suppl 3): 1538-1551.
4. 　邓其峻, 廖旭兴, 钟伟健, 等.颅内动脉瘤血管内介入栓塞治疗术中出血的防治[J]. 广东医学, 2011, 32(1): 90-92.
5. 　潘奇, 刘建民, 许弈, 等. 颅内破裂动脉瘤栓塞术后早期破裂再出血危险因素分析[J]. 介入放射学杂志, 2010, 19(2): 95-100.
6. 　李明华, 刘建民, 许奕, 等. 颅内动脉瘤的电解脱弹簧圈栓塞治疗[J]. 上海医学, 2000, 23(9): 535-539.
7. 　李铁林. 脑动脉瘤血管内栓塞治疗的若干经验[J]. 神经精神疾病杂志, 2001, 27(3): 235-236.
8. 　Batjer H, Semson D. Intraoperative aneurismal rupture: incidence, outcome and suggestions for surgical management[J]. Neurosurgery, 1986, 18(4): 701.

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Analysis of the Causes, Prevention and Treatment of Hemorrhage During Coil Embolization for Intracranial Aneurysm

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