大脑中动脉分叉部动脉瘤的介入治疗  

Endovascular embolization in treatment of aneurysm in bifurcation of middle cerebral artery

作　　者：陈立朝[1] 刘建民[2] 许奕[2] 洪波[2] 黄清海[2] 张珑[2] 许民辉[1] 

机构地区：[1]重庆第三军医大学大坪医院神经外科,400042 [2]第二军医大学长海医院神经外科

出　　处：《介入放射学杂志》2004年第S1期62-65,共4页Journal of Interventional Radiology

摘　　要：目的　总结大脑中动脉分叉部动脉瘤影像学特征、血管内栓塞治疗技巧及结果。方法　采用微弹簧圈栓塞治疗大脑中动脉分叉部动脉瘤 194例 ,对宽颈动脉瘤则采用瘤颈成形辅助技术 ,其中球囊辅助成形术 17例 ,微导丝辅助成形技术 19例 ,支架结合弹簧圈栓塞 2 1例。结果　栓塞程度 :致密栓塞 134例 (6 9% ) ,90 %以上 38例 (2 0 % ) ,90 %以下 2 2例 (11% )。术中出血 9例 (4 .6 % ) ,死亡 1例 (0 .5 % )。结论　GDC栓塞大脑中动脉分叉部动脉瘤具有微创、安全、效果可靠的优点。采用微导丝辅助瘤颈成形技术、瘤颈重塑形技术、血管内支架等方法 ,可以明显提高宽颈动脉瘤的致密栓塞率和减少脑梗死并发症。Objective To summarize the radiographic characteristic and endovascular interventional technique in patients with aneurysm in bifurcation of middle cerebral artery. Methods 194 patients of aneurysm in bifurcation of middle cerebral artery were embolized using coils. 17 cases with remoderling technique , 19 patients were treated with microwire assisted coiling technique and 21 patients with stent. Results Total occlusion was achieved in 134 aneurysms(69%), over 90% in aneurysms(20%), less than 90% in 22 aneurysms(11%), with 4 patients( 4.6%) bleed and 1 patients(0.5%) died in the cohort. Conclusions The results suggested that embolization of aneurysm in bifurcation of middle cerebral artery with coils is minimal invasive, safe, effective and reliable. Those techniques of microwire assisted coiling, remodelling and stent can develop the total occlusion rate and decrease cerebral infarction rate.

关 键 词：动脉瘤 弹簧圈 介入治疗 

分 类 号：R739.4[医药卫生—肿瘤]