支架及球囊联合Hydrocoil治疗颅内宽颈动脉瘤18例临床分析  

Clinical analysis of 18 cases of intracranial wild-necked aneurysms treated with hydrocoil assisted by stent and capsule

作　　者：陈永安[1] 王晨[1] 赵庆平[1] 张鲲鹏[1] 潘树茂[1] 关茂武[1] 

机构地区：[1]青岛大学附属烟台毓璜顶医院神经外科,烟台264000

出　　处：《中华神经医学杂志》2008年第8期796-798,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨颅内宽颈动脉瘤血管内治疗的新技术，初步评价支架及球囊联合Hydrocoil（水凝胶水解式微弹簧圈）的安全性和有效性。方法回顾性分析18例宽颈动脉瘤患者的临床资料．对颅内支架及球囊联合Hydrocoil栓塞宽颈动脉瘤的技术特点进行探讨．并通过对获得血管造影随访患者的疗效观察来评价该技术的临床应用价值．结果18例宽颈动脉瘤患者均得到完全栓塞。6例术后半年获DSA随访．见动脉瘤无复发．但仍需长期观察。结论支架及球囊联合Hydrocoil技术血管内治疗颅内宽颈动脉瘤疗效可靠．Objective To study the new endovascular treatment technique of intracranial wild-necked aneurysm, and preliminarily assess the safety and efficacy of hydrocoil assisted by stent and capsule. Methods We assessed the clinical value of therapeutic embolization of wild-necked aneurysm with hydrocoil assisted by stent and capsule by retrospectively studying the clinical data of 18 cases with wild-necked aneurysms, discussing the technical features, and follow-up visit of therapeutic effects by angiography. Results The therapeutic effects of 18 aneurysms were satisfactory, of which 6 were relapse-free as DSA demonstrated after half a year postoperatively. But long-term follow-up study was needed. Conclusion The endovascular treatment of intracranial wild-necked aneurysm with hydrocoil assisted by stent and capsule is effective and safe.

关 键 词：宽颈动脉瘤 水凝胶水解式微弹簧圈 球囊 支架 栓塞治疗 

分 类 号：R651.12[医药卫生—外科学]