Micrus弹簧圈治疗急性破裂颅内动脉瘤的初步体会  

Endovascular treatment of acutely ruptured intracranial aneurysms using micrus microcoils system： a singlecentre experience

作　　者：张全斌[1] 孙继平[1] 张翔[1] 陈左权[1] 

机构地区：[1]同济大学附属第十人民医院神经外科,上海200072

出　　处：《中华神经外科杂志》2012年第7期659-661,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨新型Micrus弹簧圈在急性破裂颅内动脉瘤栓塞治疗中的疗效。方法对2011年5月至2011年8月收治的15例自发性蛛网膜下腔出血患者，共16枚动脉瘤采用Micrus弹簧圈进行栓塞治疗，其中成篮技术选择顺序是：（1）弹簧圈直接成篮；（2）球囊辅助；（3）支架辅助。结果14（14／16）枚动脉瘤获得完全致密栓塞，2枚获得次全致密栓塞，无操作相关的并发症。除1例术前Hunter—HessV级患者植物生存外，其余14例患者均在术后2周内顺利恢复出院。结论Micrus弹簧圈在成篮和填塞方面都具有独特优势，是一种充满良好前景的新型动脉瘤栓塞材料。Objective To inturoduce the experience of using micrus microcoils system （Micrus Endovascular, Codman） in the treatment of ruptured intracranial aneurysms. Methods 16 intracranial saccular aneurysms in 15 consecutive patients presenting SAH were treated with the concentric -filling technique, in which the aneurysms were framed with Microsphere coils, or Presidio coils and packed with Delta coils, or other type coils. Among the seven wide - neck aneurysms, balloon remodeling was used in two, and stenting was used in one. Results Of the 16 treated aneurysms, total embolization was achieved in 14 and subtotal embolization in 2. No procedure -related complication was recorded. All patients, except the one who was in Hunter- Hess V grade before treatment, were restored uneventfully and discharged within two weeks. Conclusions Micrus microcoil is a secure and effective embolization material for intracranial aneurysms, and promises a bright future.

关 键 词：颅内动脉瘤 Micrus弹簧圈 蛛网膜下腔出血 

分 类 号：R651.1[医药卫生—外科学]