脑动脉瘤栓塞术后会复发吗

脑动脉瘤血管内栓塞治疗后血管造影复发率为10%~33%，但临床上需要再次治疗者为17%，较显微外科手术夹闭需要再治疗4%高得多。为此，近年来已经引起人们高度关注[1,2,3]。从上传的图像看瘤颈部分仍有少许造影剂充盈，二次栓塞后至今已有2年半，目前情况如何需要经脑血管造影复查后才能确定。不是有恶心、呕吐就提示有蛛网膜下腔再出血，但要警惕的是如果突然出现头痛、呕吐、颈部不适或僵硬等症状，就应立即看神经外科医生，并复查CTA或脑血管造影，以尽早明确诊断或排除蛛网膜下腔再出血的可能性。

参考文献

1.Raymond J, Guilbert F, Weill A, Georganos SA, Juravsky L, Lambert A, Lamoureux J, Chagnon M, Roy D. Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils.Stroke.2003;14:1398–1403.

2.White PM, Lewis SC, Gholkar A, Sellar RJ, Nahser H, Cognard C, Forrester L, Wardlaw JM. HELPS trial collaborators: Hydrogel-coated coils versus bare platinum coils for the endovascular treatment of intracranial aneurysms (HELPS): a randomised controlled trial.Lancet.2011;14:1655–1662.

3.Molyneux AJ, Clarke A, Sneade M, Mehta Z, Coley S, Roy D, Kallmes DF, Fox AJ. Cerecyte coil trial: angiographic outcomes of a prospective randomized trial comparing endovascular coiling of cerebral aneurysms with either cerecyte or bare platinum coils.Stroke.2012;14(10):2544–2550.