血管内支架结合电解可脱卸弹簧圈治疗宽颈后交通动脉瘤

目的：总结血管内支架结合电解可脱卸弹簧圈（Guglielmi detachable coil,GDC)治疗宽颈后交通动脉瘤的临床体会，对其指征、操作要点及主要并发症进行初步探讨。方法：24例宽颈后交通动脉瘤，植入球囊膨胀型网孔冠脉支架覆盖动脉瘤颈，再将微导通过支架网孔超选进入动脉瘤腔内行GDC填塞。结果：完全填塞19例，90％以上填塞3例，60％－70％填塞2例，载瘤动脉通畅，平均随访6．8个月，所有患未出现神经功能障碍。结论：血管内支架结合GDC是治疗宽颈后交通动脉瘤的有效方法，长期疗效有待进一步随访。

Treatment of posterior-communicating wide-necked aneurysms with endovascular stent and Guglielmi detachable coils

Objective:To summarize our clinical experience in treating posterior communicating wide necked aneurysms with endovascular stent and Guglielmi detachable coils(GDCs).Methods: The coronary stents were implanted across the neck of 24 posterior communicating wide necked aneurysms.Microcatheters were introduced into the aneurysm sac through stent mesh,GDCs were used to embolize aneurysms.Results:All operations were successful.Total occlusion was achieved in 19 aneurysms,over 90% in 3 aneurysms,and 60% 70% in 2 aneurysms.The patients recovered well with patency of the parent arteries after an average of 6.8 months follow up.Conclusion: Endovascular therapy combining stent implantation and GDC placement is a valid approach for the treatment of posterior communicating wide necked aneurysms.