可脱性弹簧圈栓塞治疗颅内动脉瘤  

Endovascular embolization of intracranial aneurysms with detachable microcoils

作　　者：张玉[1] 唐玉彬[1] 吴荞[1] 李文杰[1] 马勇[1] 韩志礼[1] 

机构地区：[1]兰州军区兰州总医院急诊科,兰州730050

出　　处：《中国临床神经外科杂志》2012年第9期516-517,共2页Chinese Journal of Clinical Neurosurgery

摘　　要：目的总结AXIUM可脱性弹簧圈栓塞治疗颅内动脉瘤的经验。方法回顾性分析经AXIUM微弹簧圈栓塞、Solitaire支架辅助弹簧圈栓塞治疗的62例颅内动脉瘤(共63个动脉瘤)的临床资料。结果动脉瘤腔完全致密栓塞53个,非完全致密栓塞8个,动脉瘤颈部有残留2个。58例破裂动脉瘤中,治愈57例;死亡1例,为术前Hunt-HessⅢ级,左前交通动脉窄颈动脉瘤和后交通动脉宽颈动脉瘤并存的患者,在支架辅助下进行了致密栓塞,术后90min因颅内再出血死亡。4例未破裂动脉瘤均临床治愈。结论针对不同部位、不同类型的颅内动脉瘤,应用AXIUM微弹簧圈进行合理的血管内栓塞治疗可获得满意疗效。Objective To summarize the experiences in endovascularly embolizing intracranial aneurysms with AXIUM microcoils. Method The clinical data of 62 patients with 63 intracranial aneurysms embolized with microcoils （AXIUM） or intracranial stems （Solitaire） and microcoils were analyzed retrospectively. Results Of 63 aneurysms, 53 were completely occluded, 8 uncompletely and 2 had residual necks. One patient with Hunt-Hess grade [I], who had a left anterior communicating artery aneurysm with narrow-neck and a posterior communicating artery aneurysm with wide-neck, died from intracranial rebleeding 90 minutes after complete occlusion of both the aneurysms. The other patients were cured. The aneurysms did not recurred in 23 patients followed up from 0.5-1 years. Conclusion The curative effect of endovascular embolization with AXIUM microsoils on the intracranial aneurysms is good.

关 键 词：颅内动脉瘤 蛛网膜下腔出血 栓塞 可脱性机械弹簧圈 

分 类 号：R743.35[医药卫生—神经病学与精神病学]