电解可脱弹簧圈治疗颅内动脉瘤  

Endovascular Treatment of Intracranial Aneurysm with Guglielmi Detachable Coils

作　　者：李正伟[1] 王鸿鹤[1] 王慎付[1] 

机构地区：[1]河南省南阳油田总医院放射科,473132

出　　处：《中国医学影像学杂志》2006年第5期351-354,共4页Chinese Journal of Medical Imaging

摘　　要：目的:探讨电解可脱弹簧圈治疗颅内动脉瘤的临床效果。材料和方法:CT以及DSA检查证实为颅内动脉瘤65例,66个动脉瘤。在神经安定麻醉和全身肝素化的条件下,经Tracker-10或Tracker-18微导管放置电解可脱性弹簧圈对脑动脉瘤患者进行栓塞治疗,手术在DSA动态监视下完成。结果:66个动脉瘤中,瘤体大小为3.5mm×3.8mm^5.4mm×4.5mm。64例栓塞成功,成功率为97%;2例因载瘤动脉严重痉挛而失败(3%),其中100%闭塞48个(72.7%);栓塞程度达95%以上9个(13.6%);90%闭塞7个(10.6%)。术后回访3~24个月,未发现蛛网膜下腔再次出血。结论:电解可脱弹簧圈栓塞颅内动脉瘤具有微创、安全、效果可靠的优点。Purpose： To assess the therapeutic effect of the endovascular embolization with Guglielmi detachable coils in intracranial aneurysm, naterals and Methods： 66 intracranial aneurysms were confirmed in 65 patients by CT and DSA. Guglielmi detachable coils through Tracker-10 or Tracker-18 microcatheter were used for embolism with intracranial aneurysms. All patients were under neuroleptanesthesia and general heparinization,The operations were completed under the DSA monitoring. Results： The size of 66 aneuryms was 3.5mm 3.8mm to 5.4mm 4.5mm. The aneurysms were successfully embolized with Guglielmi detachable coils in 64 patients（97% ）. Two cases were failed to be blocked due to arterial spasm （ 3% ）. Total occlusion was achieved in 48 aneurysms （72.7%）, over 95% in 9 aneurysms （ 13.6% ） ; 90% in 3 aneurysms（ 10.6% ）. The patients were followed-up for 3 to 24 months, no rebleed was happened. Conclusion： Endovasculai embolization with Guglielmi detachable coils for the treatment of intracranial aneurysm is a micro-traumatic, safe, effective and reliable.

关 键 词：颅内动脉瘤 介入治疗 电解可脱性弹簧圈 

分 类 号：R815[医药卫生—放射医学]