摘要
目的：报告用钨丝机械性可脱性弹簧圈系统和弹簧圈（ＭＤＳ－Ｎ和Ｓｐｉｒａｌ）栓塞１８例颅内动脉瘤的经验和体会。材料与方法：１９９５年３月至１９９６年３月用ＭＤＳ－Ｎ和Ｓｐｉｒａｌ栓塞１８例２１个颅内动脉瘤。男、女各９例；年龄３２～６２岁，平均４６．５岁。蛛网膜下腔出血１６例，头痛２例。结果：１６个动脉瘤栓塞成功，１００％闭塞９个，９５％～９８％闭塞５个，８０％闭塞２个。５个未成功（１个因术中出血需急诊手术，２个超选择插管不成功，２个因瘤颈宽弹簧圈不能存留）。并发症有术中出血１例，弹簧圈游走１例，眼动脉巨大动脉瘤栓塞后出现占位症状而失明１例（经手术夹闭动脉瘤视力无恢复），无其他永久后遗症。结论：ＭＤＳ－Ｎ和Ｓｐｉｒａｌ可有效地用于颅内动脉瘤的栓塞治疗，但有多种因素可影响治疗效果。
Purpose:ToassestheusefulnesofMDS-NandSpiralinembolizingintracranialaneurysms.Materialsandmethods:BetweenMarch1995andMarch1996,18casesofintracranialaneurysmsweretreatedwithMDS-NandSpiralinourcenterincluding9malesand9females,agedfrom32to62years,mean46.5years,with21aneurysms;smal(<5mm)5,median(5～10mm)10,large(11～25mm)5,giant(>25mm)1.Presentations:Subarachnoidhemorrhage(CTorLPconfirmed)11,headache2.H&HgradeⅠ-Ⅱ17,gradeⅢ1.Results:Sixteenaneurysmsweresuc-cesfulyembolized(includingonewithtwoatempts,twobilateralaneurysmswithoneatempteach);100%occlusionin9,95%～98%oclusionin5,80%oclusionin2,alparentvesselspre-served,andfailurein5aneurysmsincluding2withwideneckwhichwasnotabletoholdtheSpiral,2withfailedsuperselectivecatheterization(1wasthensurgicalyclipped),1needemergentsurgicalclippingoftheaneurysmbecauseofvesselwalperforationduringcatheterization.Complications:Onevesselwalperforation(nopermanentneurologicdeficitaftersurgicalclippingoftheaneurysm),OneSpiralmigrationtoMCAM1segment(nopermanentneurologicdeficitafterimmediatethrom-bolysisandcontinuousanticoagulationforoneweek),1visiondeteriorationduetomasefect(norecoveryaftersurgicalclippingofthegiantembolizedaneurysm).Nodeathocurred.Twopatientswereangiographicalyfolowedup6monthsafterembolization,andnorecanalizationwasfound.Conclusion:MDS-NandSpiralareusefulintreatingintracranialaneurysm.Manyfactorsmayinfluencethesucesofthetreatment.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1996年第9期591-594,共4页
Chinese Journal of Radiology
基金
国家"八五"攻关项目
关键词
脑动脉瘤
栓塞术
介入疗法
弹簧圈
CerebralaneurysmEmbolization,therapeuticRadiology,interventional
