篮筐技术在颅内动脉瘤介入治疗中的应用

目的 探讨篮筐技术在颅内动脉瘤介入治疗中的方法、机制、适应证及疗效.方法 1:1≥颈/体≥1:2的颅内宽颈动脉瘤156例,应用3D弹簧圈成篮技术;颈/体<1:2的窄颈动脉瘤,应用2D弹簧圈成篮技术;后继弹簧圈选用普通二维弹簧圈、水凝胶弹簧圈或毛弹簧圈以达致密填塞.结果 156例共158个颅内动脉瘤中100%闭塞143个(90.5%),出院格拉斯哥预后评分5分131例(84.0%),死亡2例(1.3%).结论 篮筐技术的应用能有效地增加颅内动脉瘤的填塞率,减少瘤颈残余,达到致密填塞,改善预后的目的 .

The application of Basket skill in the interventional therapy for intracranial aneurysm

Objective To study the ways,mechanism,indication,curative effect of Basket skill applied in the interventional therapy for intracranial aneurysm. Methods Intracranial aneurysm with 1 : 1 ≥ neck/body ≥ 1 : 2 , 3 D coil was used to form a basket in it;in that with 1:2 > neck/body,common 2D coil was applied. And the following coils were applied with hydrocoil or fibered coil combined with common platinum coil to increase the embol-ism density. Results In 156 cases with 158 aneurysms,143 aneurysms were 100% embolized (90. 5% ) ;131 ca-ses discharged with GOS 5 score(84.0% ),and 2 cases died ( 1.3% ). Conclusion Basket skill can increase the embolization density in aneurysm,reducing the residual of the neck,getting embolizated fully and improving the prognosis.