摘要
目的总结血管内栓塞治疗颅内动脉瘤的经验,探讨其栓塞时机、技术要点及并发症的防治。方法回顾性分析血管内治疗的18例患者的临床资料,栓塞所用弹簧圈包括GDC-360°、GDC-Matrix以及水解脱弹簧圈。对2例宽颈动脉瘤及1例夹层动脉瘤分别采用球囊Remolding技术及Neuroform支架辅助水解脱弹簧圈进行栓塞。结果100%栓塞16例;95%栓塞1例;90%栓塞1例。术后死亡1例,术后因脑血管痉挛并发一过性偏瘫、失语2例,无动脉瘤破裂出血。结论血管内栓塞是治疗颅内动脉瘤的一种微创、相对安全、有效的治疗方法。
Objective To summarize the experience of endovascular treatment of intracranial aneurysms and discuss the timing of the embolization, the technique points of procedure and complications. Methods The clinical data of 18 cases with intracranial aneurysms which treated by endovascular embolization were retrospected. GDC-360, GDC-Matrix, Hydro detachable coils were used during the procedure. 1 case with wide-neck aneurysm was treated by balloon-assisted coil emboliaztion and 1 case with dissecting aneurysm were treated with combination of Neuroform stent and detachable coils. Results Total obliteration of aneurysm was achieved in 16 cases, 1 aneurysm embolizated 95%, 1 aneurysm embolizated 90%. During the operation, the coil escaped from the aneurysm into the parent artery was seen in 1 patient, serious vasospasm was seg. n in 2 cases who suffered cerebral infarction after operation, No case of aneurysm rehaemorrhagia were founded. Conclusion Endovascular embolization was a minimal- invasive, relatively safe, effective method for the treatment of intracranial aneurysm. Determination of rational embolization strategy and selection of suitable embolization materials were important for the success of the operation.
出处
《华中医学杂志》
CAS
2006年第3期171-173,共3页
Central China Medical Journal
关键词
颅内动脉瘤
血管内栓塞
治疗
Intracranial aneurysm
Endovascular embolization
Therapy
