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应用HydroCoil栓塞系统治疗颅内动脉瘤的初步体会
引用本文:王志刚,丁璇,王成伟,沈寻,潘顺,郝晓光,李卫国,张纪庆,韩磊. 应用HydroCoil栓塞系统治疗颅内动脉瘤的初步体会[J]. 中华神经外科杂志, 2006, 22(12): 738-740
作者姓名:王志刚  丁璇  王成伟  沈寻  潘顺  郝晓光  李卫国  张纪庆  韩磊
作者单位:1. 250033,济南,山东大学第二医院神经外科
2. 山东大学医学院
摘    要:目的 总结应用HydroCoil栓塞系统(HES)治疗颅内动脉瘤的初步体会。方法 应用HydroCoil结合水解铂金微弹簧圈栓塞治疗颅内动脉瘤患背14例共15个动脉瘤,其中前交通动脉瘤5个,后交通动脉瘤3个,大脑中动脉瘤2个,大腑后动脉瘤1个,椎动脉火层动脉瘤1个,基底动脉顶端动脉瘤1个,颈内动脉C2段动脉瘤2个:结果 12例患者13个动脉瘤完全栓塞,2例患者2个动脉瘤大部分栓塞:8例患者随访3-5个月,均朱见复发。结论 HES能安全有效的栓寒颅内动脉瘤,明显的提高动脉瘤填塞的致密度。栓塞后动脉瘤短期小易复发。长期临床效果仍有侍于进一步研究。

关 键 词:颅内动脉瘤 栓塞 水凝胶 血管内治疗
收稿时间:2006-02-22
修稿时间:2006-08-29

HES for intracranial aneurysms embolization
WANG Zhi-gang , DING Xuan, WANG Cheng-wei,et al.. HES for intracranial aneurysms embolization[J]. Chinese Journal of Neurosurgery, 2006, 22(12): 738-740
Authors:WANG Zhi-gang    DING Xuan   WANG Cheng-wei  et al.
Affiliation:Department of Neurosurgery, Second Hospital of Shandong Unirersity, Jinan 250033, China
Abstract:Objective To summarize prelirninafy experience of treating intracranial aneurysms, with HES. Methods 15 intracranial aneurysms in 14 patients were embolized with HES and DCS, including 5 AcoA, 3 PeoA, 2 MCA, 1 PCA, 1 VA dissecting aneurysm, 1 BA apex and 2 ICA-C2 aneurysms. Results 13 aneurysms in 12 patients were embolized completely, 2 mostly embolized. There were no complications and hemorrhage in the 8 cases in the follow-up of 2 to 5 months. Conclusions Treatment for intracranial aneurysms with HES is a safe, effective and reliable measure and Hvdrocoils can improve aneurysm filling. Clinical outcome needs further practice and long term follow-up study.
Keywords:Intracranial aneurysm    Embolization    Hydrogel    Endovaseular treatment
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