Onyx联合支架辅助弹簧圈治疗复杂性颅内破裂动脉瘤  

Onyx combined with coiling embolization for endovascular treatment of complex intracranial ruptured aneurysms

作　　者：吴永发[1] 黄清海[1] 杨鹏飞[1] 张磊[1] 李强[1] 刘建民[1] 

机构地区：[1]第二军医大学长海医院神经外科,上海200433

出　　处：《介入放射学杂志》2011年第4期261-264,共4页Journal of Interventional Radiology

基　　金：上海市科委重点项目(074119506)

摘　　要：目的探讨应用Onyx联合支架辅助弹簧圈治疗颅内复杂破裂动脉瘤的可行性和疗效。方法回顾性分析2例应用Onyx联合支架辅助弹簧圈技术方法,进行治疗的颅内复杂破裂动脉瘤。并对Onyx栓塞治疗颅内动脉瘤相关文献进行回顾。结果应用该技术栓塞治疗2例复杂性颅内动脉瘤(1例为右侧颈内动脉分叉部动脉瘤,1例为颈内动脉前壁复发动脉瘤),术后即刻动脉瘤完全栓塞,载瘤动脉通畅。结论 Onyx联合支架辅助弹簧圈治疗复杂性颅内破裂动脉瘤是安全、可行的,有助于提高动脉瘤栓塞程度。Objective To study the therapeutic effect of Onyx combined with stent-assisted coiling in embolizing complex intracranial ruptured aneurysms.Methods Onyx combined with stent-assisted coiling embolization was conducted in two patients with complex intracranial ruptured aneurysms.The clinical data were retrospectively analyzed.The related literature concerning intracranial complex aneurysm treated with Onyx was reviewed.Results Two intracranial complex aneurysms were embolized with Onyx together with coils.The lesions were located at internal carotid arterial bifurcation（n = 1） and at the anterior wall of internal carotid artery（n = 1）.Complete embolization of the aneurysms was achieved immediately after the procedure while the parent arteries remained patent.Conclusion For the treatment of complex intracranial ruptured aneurysms Onyx combined with coiling embolization is safe,effective and feasible.This technique can improve the degree of embolization.To make the evaluation of the long-term efficacy further study is needed.

关 键 词：颅内动脉瘤 ONYX 弹簧圈 支架 

分 类 号：R743.3[医药卫生—神经病学与精神病学]