电解可脱式铂金弹簧圈栓塞治疗颅内动脉瘤

目的报告使用电解可脱式铂金弹簧圈（ｇｕｇｌｉｅｌｍｉｄｅｔａｃｈａｂｌｅｃｏｉｌ,ＧＤＣ）治疗颅内动脉瘤的情况。方法气管内插管全麻和肝素抗凝下,经Ｔｒａｃｋｅｒ微导管放置ＧＤＣ栓塞颅内动脉瘤,必要时辅以重塑技术（ｒｅｍｏｄｅｌｉｎｇｔｅｃｈｎｉｑｕｅ,ＲＴ）。结果成功栓塞８例动脉瘤,其中５例为１００％栓塞,２例为９５％,１例为９０％。有４例既往用机械可脱式铂金弹簧圈（ＭＤＳ）无法安全栓塞或Ｍａｇ３Ｆ或２Ｆ微导管插管失败。无并发症。结论ＧＤＣ栓塞颅内动脉瘤安全可靠,效果良好,并可使部分ＭＤＳ无法栓塞或栓塞危险性较大的动脉瘤得以治疗。

Endovascular treatment of intracranial aneurysms with GDC: report of 8 cases

OBJECTIVE: To assess the usefulness and practical experience in intracranial aneurysm embolization with guglielmi detachable coil (GDC) applied firstly in China. METHOD: Under general anesthesia and systematic anticoagulation, eight cases of intracranial aneurysms were embolized with GDC which was introduced by tracker micro-catheter, combined remodeling technique (RT) if necessary. RESULT: 100% occlusion was achieved in 5 cases, 95% in 2 and 90% in 1, without any complication. Among these cases, 4 failed in the previous attempts of endovascular treatment with mechanical detachable system (MDS), because MDS could not be safely and totally placed inside the aneurysms and Mag 3F/2F micro-catheter could not be navigated into the aneurysms. CONCLUSION: Embolization of intracranial aneurysms with GDC is safe, effective and reliable, and it may offer the cure opportunity to those enearysms which are very dangerous to embolize or can not be embolized with MDS.