The value of digital subtraction angiography in diagnosis and planning endovascular treatment of children with ischemic cerebrovascular diseases
10.3760/cma.j.issn.1673-4912.2009.02.018
- VernacularTitle:数字减影血管造影应用于小儿缺血性脑血管病的诊断与介入治疗
- Author:
Dan SUN
;
Zhisheng LIU
- Publication Type:Journal Article
- Keywords:
Digital subtraction angiography;
Ischemic cerebral vascular diseases;
Children
- From:
Chinese Pediatric Emergency Medicine
2009;16(2):151-153
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of digital subtraction angiography(DSA) in diagnosis and planning endovascular treatment of cerebrovascular diseases. Methods Thirty-one children suspected with ischemic cerebrovascular diseases were treated by urokinase and dextran after they underwent DSA.Results Twenty-four cases (77%) had cerebrovascular abnormalities. Two cases had arteriovenous malformations, 1 case had posterior communicating artery aneurysm,21 cases had cerebrovascular stenosis or occlusions. Shortly after intervention therapy using urokinase,muscle strength increased by one level in 13 cases,two levels in 3 cases,3 levels in 2 cases and no effect in 4 cases. The total effective rate reached 86%. Seven patients with ischemic stroke achieved 100% recanalization. Conclusion DSA is very important in diagnosis of cerebrovascular stenosis and occlusion.
