颅内动脉瘤的介入治疗

目的总结颅内动脉瘤介入栓塞治疗的经验及疗效。方法对13例经全脑血管数字减影血管造影(DSA)证实的颅内动脉瘤,使用电解可脱弹簧圈进行血管内栓塞治疗,13例中,后交通动脉瘤5例,颈内动脉瘤3例,前交通动脉瘤3例,大脑中动脉瘤2例;动脉瘤呈囊状7例,球形2例,葫芦形2例,宽颈2例;动脉瘤直径在4-11mm之间。结果13例电解式可脱栓塞病例中,动脉瘤腔100％栓塞6例,95％栓塞4例,80-90％栓塞2例,不足80％1例。栓塞后载瘤动脉痉挛3例,弹簧圈少量脱出动脉瘤1例次,过度栓塞1例次。结论电解可脱弹簧圈栓塞颅内动脉瘤是一种治疗颅内动脉瘤有效的方法。

The interventional therapy for intracranial aneurysm

Objective To sum up the experience and the efficacy of embolization for intracranial aneurysm with Interventional therapy.Methods 13 case intracranial aneurysm was confirmated by digital subtraction angiography and embolized with Cuglielmi detachable coil(GDC) in endovascular,among the 13 case 5 aneurysm on the posterior communicating artery,2 aneurysm on the internal carotid artery,s aneurtysm on the anterior communicating artery,2 aneurysm on the middle cerebral artery,7 aneurysm was bladder shape,2 calabash shape,2 globular shapel and broad-neck,the diameter of aneurysms between 4-11mm.Results Among the 13 case,6 case were embolized 100%,4 case were embolized 95%,2 case were embolized 80-90%,1 case under 80%.3 case was accompanied cerebral angiospasm,1 case coil end protruding,1 case were over-embolized.Conclusion There is a operative therapeutics method which embolization of intracranial aneurysm with guglielmi detachable coil.