电解可脱性弹簧圈栓塞治疗前交通动脉瘤  

Endovascular embolization therapy with GDC for anterior communicating artery aneurysms

作　　者：尹家和[1] 段传志[1] 汪求精[1] 黄志伟[1] 柯以铨[1] 

机构地区：[1]南方医科大学珠江医院神经外科,广州510282

出　　处：《中华神经医学杂志》2007年第4期375-377,共3页Chinese Journal of Neuromedicine

摘　　要：目的对使用电解可脱性弹簧圈血管内栓塞治疗前交通动脉瘤进行临床疗效分析,总结栓塞技术要点。方法对168例前交通动脉瘤通过微导管技术,在数字减影血管造影辅助下行电解可脱性弹簧圈血管内栓塞治疗,未能栓塞者手术治疗。结果165例前交通动脉瘤成功栓塞,其中149个100%栓塞,10个95%栓塞,6个90%栓塞;3例手术治疗。术中动脉瘤破裂2例,并发脑梗死3例,2例复发者再次给予GDC栓塞治愈。最终167例痊愈,1例死亡。结论血管内栓塞治疗前交通动脉瘤是一种安全、可靠、有效的治疗手段,极少数前交通动脉瘤栓塞困难时需手术治疗。Objective To evaluate the effect of endovascular embolization with Guglielmi detachable coils （GDC） on anterior communicating artery aneurysms, and to summarize the main points of embolization techniques. Methods A total of 168 patients with anterior communicating artery aneurysms underwent endovascular embolotherapy with GDC through a microcatheter under DSA imaging. The patients who failed to be embolized were treated by surgical clipping. Results Of the 165 cases cured successfully with embolotherapy, 149 achieved 100 % occlusion, 10 with 95 % occlusion, 6 with 90 % occlusion; 3 cases were treated with surgical clipping. Aneurysms ruptured during the embolization in 2 cases; cerebral infarction occurred in 3 cases; 2 recurrent cases were cured by second GDC embolization. Finally 167 recovered clinically, and 1 died. Conclusion The endovascular embolotherapy for anterior communicating artery aneurysm is safe, reliable and effective. The patients who fail to be embolized need to be treated by surgical clipping.

关 键 词：前交通动脉瘤 栓塞 治疗性 放射学-介入性 

分 类 号：R651[医药卫生—外科学]