支架结合弹簧圈治疗颅内宽颈动脉瘤急性破裂的可行性和安全性  

Feasibility and safety of endovascular stent and Guglielmi detachable coils for treating acute ruptured wide-necked intracranial aneurysms

作　　者：张鑫[1] 刘建民[1] 许奕[1] 洪波[1] 黄清海[1] 周晓平[1] 张珑[1] 佘家贵[1] 

机构地区：[1]上海第二军医大学长海医院神经外科,200433

出　　处：《介入放射学杂志》2004年第3期228-230,共3页Journal of Interventional Radiology

基　　金：上海市科委重大课题 ( 0 3DZ1970 6)

摘　　要：目的　总结血管内支架结合电解可脱卸弹簧圈 (GDC)治疗颅内宽颈动脉瘤急性破裂的临床体会 ,对其可行性和安全性进行初步探讨。方法　 5 7例急性破裂宽颈动脉瘤 ,均先植入冠脉支架覆盖动脉瘤颈 ,再将微导管通过支架网孔超选进入动脉瘤腔内填塞GDC。结果　 1例因血管扭曲不能植入支架 ,5 6例成功 ,均达到 90 %以上栓塞 ,载瘤动脉通畅 ,所有患者无神经功能障碍出现。结论　血管内支架植入结合GDC填塞是治疗急性破裂宽颈动脉瘤的安全。Objective To discuss the feasibility and safety of treatment on acute ruptured wide necked intracranial aneurysms with endovascular stent and Guglielmi detachable coils (GDS).Methods The coronary stents were first implanted across the neck of 57 acute ruptured wide necked intracranial aneurysms with microcatheters introducing into the aneurysm sac through the stent mesh. GDCs were used to embolize the aneurysms. Results 56 procedures were successful with only one failure of stent implantation due to tortuous vessel. Over 90% occlusion were achived in 56 embolized aneurysms. The patients recovered well with patency of the parent arteries.Conclusion Endovascular therapy with stent implatation and GDC placement is a safe and feasible approach for the treatment of acute ruptured wide-necked intracranial aneurysms.

关 键 词：弹簧圈 颅内宽颈动脉瘤 动脉瘤急性破裂 血管内支架 介入治疗 GDC 肿瘤 

分 类 号：R739.4[医药卫生—肿瘤]