颅内动脉瘤血管内栓塞治疗的临床效果

目的 探讨可脱性弹筑圈及可脱性球囊血管内栓塞治疗颅内动脉瘤的效果及技术要点。方法 对１９４例颅内动脉瘤微导管技术，在数字减影血管造影监视下行血管内栓塞治疗，其中８５例９０个动脉瘤用机械式可脱性弹筑圈（ＭＤＳ）栓塞，６９例７１个动脉瘤用电解式可脱性弹簧圈（ＧＤＣ）栓塞。４０例巨大动脉瘤３７例用可脱性球囊闭塞载瘤支脉，２例用ＧＤＣ，１例用ＭＤＳ闭塞载瘤动脉。结果 成功栓塞１９４例２０１个动脉瘤，１９１

Endovascular embolization treatment of intracranial aneurysms

Objective To evaluate the effect of endovascular embolization of intracranial aneurysms with detachable coil and detachable balloon and emphasize the mainpoint of embolic technique. Methods 194 patients underwent complete cerebral angiography using microcatheter under DSA imaging. 80 cases with 90 aneurysms were emboliced by MDS, 69 cases with 71 aneurysms were emboliced by GDC.37 of 40 giant aneurysms were emboliced by detachable balloon, 2 aneurysms by GDC, 1 by MDS. Results 194 patients with 201 aneurysms were cured successfully; 191 cases recovered clinically, 3 patients died. 187 aneurysms achieved 100% embolization, 8 with 95% embolization, 4 with 90% embolization, and 1 with 80% embolization. Four aneurysms reputured during the embolization, 4 patients had cerebral infarction, one patient died by hard treated cerebral vasospasm which was affected by microcoil escape. Two recurrent cases were cured by second GDC embolization. Conclusions The method of endovascular embolization to treat intracranial aneurysm is safe, reliable and effective. Those cases with giant aneurysms will have high recurrence in the future. Patients who suffer from SAH repeatedly may have great possibility of aneurysm rupture during embolization.