复杂颅内动脉瘤的血管内治疗(79例报告)

目的探讨各种栓塞技术在复杂颅内动脉瘤血管内治疗中的适应证和临床效果。方法回顾性分析经血管内治疗的79例复杂颅内动脉瘤患者的临床资料。结果采用常规可脱弹簧圈技术、球囊再塑形技术、支架载瘤动脉成形术及载瘤动脉闭塞术治疗复杂颅内动脉瘤79个,完全或近全栓塞率为43.1%,部分栓塞率46.8%,永久性致残率2.5%,死亡率5.1%。17例患者随访2～13个月,平均6.5个月,均无颅内出血或再出血。结论血管内栓塞是治疗复杂颅内动脉瘤的相对安全有效的选择,各种新型栓塞技术、栓塞材料的发展和临床经验的逐步积累将使复杂颅内动脉瘤的血管内治疗迈上新台阶。

Endovascular treatment of complicated intracranial aneurysms (79 cases report).

Objective To investigate the indications and clinical effects of various embolic techniques for endovascular treatment of complicated intracranial aneurysms.Methods The clinical data of 79 cases with complicated intracranial aneurysms embolized were retrospectively analyzed.Results Seventy-nine cases complicated intracranial aneurysms were treated with such techniques as routine detachable coiling, balloon remodeling, stent endovasculoplasty and parent artery occlusion. Complete or near-complete occlusion rate was 43.1%, partial occlusion rate 46.8%, persistent morbidity was 2.5%, and mortality 5.1%. Seventeen patients were followed up for two to 13 months (six and a half months on an average), none of whom suffered from bleeding or rebleeding.Conclusions Endovascular embolism is the comparatively safe and effective alternative for treatment of complicated intracranial aneuryms. New embolic techniques, new embolic materials and more clinical experiences will improve endovascular treatment of complicated intracranial aneurysms.