摘要
目的探讨不同栓塞技术在复杂颅内动脉瘤血管内介入治疗中的适应证和临床效果。方法回顾性分析血管内介入治疗35例复杂颅内动脉瘤的临床资料。结果采用常规可脱弹簧圈技术、球囊再塑形技术、支架载瘤动脉成形术治疗复杂颅内动脉瘤35个,完全或近全栓塞率为62.9%,部分栓塞28.6%,永久性致残率5.7%,死亡率2.9%。29例患者随访3～14个月,平均7.5个月,均无颅内出血或再出血。结论复杂颅内动脉瘤的血管内介入治疗相对安全有效,特别是支架辅助弹簧圈栓塞治疗是行之有效的方法。
Objective To investigate the indications and clinical effects of different embolic techniques for endovascular treatment of complicated intracranial aneurysms.Methods The clinical data of 35 cases with complicated intracranial aneurysms embolized were retrospectively analyzed.Results 35 cases complicated intracranial aneurysms were treated with such techniques as routine detachable coiling,balloon remodeling,stent endovasculoplasty.Complete or near-complete occlusion rate Was 62.9%,partial occlusion rate 28.6%,persistent morbidity was 5.7%,and mortality 2.9%.29 patients were followed up for 3 to 14 months（seven and a half months on an average）,none of whom suffered from bleeding or rebleeding.Conclusion Endovascular embolism is the comparatively safe and effective alternative for treatment of complicated intracranial aneurysm,especially the endovascular stents implantation combined with the coil placement is an effective method.
出处
《当代医学》
2011年第12期2-3,共2页
Contemporary Medicine
关键词
复杂颅内动脉瘤
血管内介入治疗
Complicated intracranial aneurysm
Endovascular treatment
