GDC栓塞治疗47例颅内动脉瘤的疗效

目的 探讨应用电解可脱性铂金弹簧圈(GDC)栓塞治疗颅内动脉瘤的疗效和经验。方法 47例颅内动脉瘤患者(48个动脉瘤)，其中43例行单纯GDC栓塞术，3例宽颈动脉瘤行支架结合GDC栓塞，1例宽颈动脉瘤应用球囊瘤颈塑型GDC栓塞术．术前、术后造影对比，术后随访1～58个月。结果 47例颅内动脉瘤患者，行GDC栓塞47个，其中36个100％栓塞(76．5％)，6个90％柃塞(12．8％)，2个80％栓塞(4．3％)，1个50％栓塞(2．1％)，2个栓塞失败(4．3％)，1个多发动脉瘤未作处理，4例应用瘤颈辅助技术手术顺利，效果满意。术后随访无蛛网膜下腔出血发生。结论 GDC适合大多数颅内动脉瘤的栓塞治疗，安全可靠。

Effects of endovascular treatment of intracranial aneurysms with Guglielmi detachable coils in 47 cases

Objective To assess the efficacy of intracranial aneurysm embolization with Guglielmi detachable coils ( GDC) . Methods Forty-three aneurysms were embolized only with GDC. Three wide-neck aneurysms were embo-lized with stents and GDC. One wide-nick aneurysm was embolized using the remodeling technique. Angiography was performed before, during and after embolization. Patients were followed for 3 to 58 monthes. Results Forty-seven of forty-eight aneurysms in 47 cases were embolized by GDCs. 100% occlusion was achieved in 36 aneurysms (76. 5% ) , 90% in 6 (12. 8% ) ,80% in 2 (4. 3% ) , and 50% in 1 (2. 1% ). Embolization in two cases failed (4. 3% ) . A coincidental unruptured aneurysm was not embolized. Four cases using stenting or remodeling technique recovered well. No rebleeding occurred in this group after treatment. Conclusion Embolization of intracranial aneurysms with GDCs is safe, effective and reliable.