电解可脱弹簧圈治疗颅内动脉瘤

目的:探讨电解可脱弹簧圈治疗颅内动脉瘤的临床效果。材料和方法:CT以及DSA检查证实为颅内动脉瘤65例,66个动脉瘤。在神经安定麻醉和全身肝素化的条件下,经Tracker-10或Tracker-18微导管放置电解可脱性弹簧圈对脑动脉瘤患者进行栓塞治疗,手术在DSA动态监视下完成。结果:66个动脉瘤中,瘤体大小为3.5mm×3.8mm~5.4mm×4.5mm。64例栓塞成功,成功率为97%;2例因载瘤动脉严重痉挛而失败(3%),其中100%闭塞48个(72.7%);栓塞程度达95%以上9个(13.6%);90%闭塞7个(10.6%)。术后回访3~24个月,未发现蛛网膜下腔再次出血。结论:电解可脱弹簧圈栓塞颅内动脉瘤具有微创、安全、效果可靠的优点。

Endovascular Treatment of Intracranial Aneurysm with Guglielmi Detachable Coils

Purpose: To assess the therapeutic effect of the endovascular embolization with Guglielmi detachable coils in intracranial aneurysm.Materals and Methods: 66 intracranial aneurysms were confirmed in 65 patients by CT and DSA. Guglielmi detachable coils through Tracker-10 or Tracker-18microcatheter were used for embolism with intracranial aneurysms.All patients were under neuroleptanesthesia and general heparinization,The operations were completed under the DSA monitoring. Results: The size of 66 aneuryms was 3.5mm 3.8mm to 5.4mm 4.5mm.The aneurysms were successfully embolized with Guglielmi detachable coils in 64 patients(97%).Two cases were failed to be blocked due to arterial spasm(3%). Total occlusion was achieved in 48 aneurysms(72.7%),over 95% in 9 aneurysms (13.6%); 90% in 3 aneurysms(10.6%).The patients were followed-up for 3 to 24 months, no rebleed was happened.Conclusion: Endovasculai embolization with Guglielmi detachable coils for the treatment of intracranial aneurysm is a micro-traumatic,safe,effective and reliable.