摘要
目的探讨血管内不同栓塞方法治疗颅内宽颈动脉瘤的临床疗效。方法选择颅内宽颈动脉瘤患者50例,根据颅内宽颈动脉瘤的不同类型采用不同的栓塞方法,观察各种方法的临床疗效。结果不同栓塞技术的致密栓塞率情况:3D-GDC为75.0%,双微导管技术为85.7%,球囊辅助技术87.5%,血管内支架辅助技术85.7%。所有患者随访1a,其中20例CTA复查,30例DSA复查,均未发生动脉瘤复发及再出血。结论根据动脉瘤的形态、位置、大小及血流动力学特点,采用双微管技术、球囊或支架辅助技术可提高颅内宽颈动脉瘤治疗效果。
Objective To investigate the curative effect of endovascular embolization on treating intracranial wide necked aneurysms.Methods Fifty patients with intracranial wide necked aneurysms were selected and used different embolized meth-ods according to types of intracranial wide necked aneurysms.The curative effects of different embolized methods were com-pared.Results The aneurysm obliteration densification rate was 75% （3D-GDC） ,85.7% （double microcatheter technique） , 87.5% （ balloon assisted technique） and 85.7% （stent assisted endovascular technique）. All patients were followed up for 1 year and reexamined by CTA or DSA ,there were no recurrence and rebleeding of aneurysm.Conclusion Double micropipette technique ,balloon or stent assisted technique can significantly improve the curative effect of intracranial wide necked aneurysms according to aneurysmal shape ,position ,size and hemodynamic characteristics.
出处
《中国实用神经疾病杂志》
2014年第22期31-33,共3页
Chinese Journal of Practical Nervous Diseases
关键词
颅内宽颈动脉瘤
血管内栓塞
Intracranial wide necked aneurysms Endovascular embolization
