大型和巨大型颅内动脉瘤的血管内介入治疗进展  

Endovascular Treatment of Large and Giant Intracranial Aneurysms

作　　者：张建忠[1,2] 杨鹏飞[1] 黄清海[1] 洪波[1] 赵文元[1] 许奕[1] 刘建民[1] 

机构地区：[1]第二军医大学附属长海医院临床神经医学中心,神经外科,上海200433 [2]解放军第98医院神经外科

出　　处：《中国卒中杂志》2013年第11期893-898,共6页Chinese Journal of Stroke

摘　　要：大型和巨大型颅内动脉瘤是指最大径超过1.0 cm和2.5 cm的颅内动脉瘤。包括载瘤动脉闭塞、单纯弹簧圈栓塞、支架辅助弹簧圈栓塞、液态栓塞剂或混合弹簧圈栓塞、覆膜支架植入、血流转向支架植入等多种血管内介入治疗方法均可用于治疗此类动脉瘤,每一种方法的应用都伴随着对动脉瘤发病机制的不断认识和治疗理念的进步。本文主要对此类动脉瘤的血管内介入治疗进展做一综述。Large and giant intracranial aneurysms is the maximum diameter more than 1.0 cm and 2.5 cm. Several endovascular modalities including parent artery occlusion, coiling alone, stent- assisted coiling, liquid embolic agent or mixed coil embolization, cover stent, flow diverter may be applied for treating these aneurysms. The application of each method is accompanied on constant acknowledgement of aneurysm pathogenesis and progress of the treatment concept. The aim of this review was to summarize the progress of endovascular modalities in the treatment of large and giant intracranial aneurysms.

关 键 词：动脉瘤 载瘤血管栓塞 弹簧圈 血流转向支架 

分 类 号：R743[医药卫生—神经病学与精神病学]