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脑血管造影可导致脑动脉瘤破裂出血。作者介绍7年间收治的破裂的颅内动脉瘤患者430例,418例行脑血管造影和CT检查,其中14例在造影期间再次出血。再出血以造影剂血管外溢或血管造影后CT扫描血块明显增大确定。13例为囊状动脉瘤,1例为壁间动脉瘤。再出血动脉瘤部位在大脑中动脉(MCA)者5例,前交通动脉和颈内动脉(ICA)各3例,2例为多发性。造影方法1例颈总动脉直接穿刺,2例经臂逆行造影,11例采用Seldinger技术造影。均采用机器注射造影剂。动脉瘤最近一次破裂与造影再出血间隔90～240分钟(平均130分钟)。10例保守治疗,3例手术夹闭动脉瘤,1例动脉瘤行球囊栓塞。治疗结果13例死亡,1例严重残废。
Cerebral angiography can lead to aneurysm rupture and bleeding. The authors describe 430 patients with ruptured intracranial aneurysms who underwent 7 years of treatment and 418 with cerebrovascular angiography and computed tomography (CT). Of these, 14 returned to bleed again during angiography. Rebleeding to contrast agent or spilled blood vessels after CT angiography significantly increased blood clots to determine. 13 cases were cystic aneurysms and 1 case was wall aneurysm. Re-bleeding aneurysm site in the middle cerebral artery (MCA) in 5 cases, anterior communicating artery and internal carotid artery (ICA) in 3 cases, 2 cases were multiple. One case of angiography common carotid artery puncture, 2 cases retrograde angiography, 11 cases with Seldinger technique. Machine injection contrast agent are used. The most recent aneurysm rupture and contrast rebleeding intervals of 90 to 240 minutes (an average of 130 minutes). 10 cases of conservative treatment, 3 cases of aneurysm clipping surgery, 1 case of balloon aneurysm embolization. Thirteen patients were killed and one was severely disabled.