可吸收聚合物涂层电解可脱性弹簧圈在颅内动脉瘤栓塞术中的应用

The application of endovascular embolization in intracranial aneurysms with Matrix detachable coils

目的 探讨可吸收聚合物涂层电解可脱性弹簧圈 (MDC)栓塞治疗颅内动脉瘤的效果。方法 对 2 3例颅内动脉瘤患者 (2 4个动脉瘤 )行 MDC栓塞术。结果 2 4个动脉瘤中 ,10 0 %致密填塞 15个 (占 6 2 .5 % ) ;95 %填塞 5个 (占 2 0 .8% ) ;90 %填塞 4个 (占 16 .7% ) ;1例术后出现短期并发症。随访均无动脉瘤复发。结论 MDC能显著促进动脉瘤囊内血栓机化和瘢痕组织形成、内皮增生 ,较单纯电解可脱性弹簧圈 (GDC)栓塞动脉瘤更有优势。

Objective To evaluate the efficacy of endovascular embolization in intracranial aneurysms with Matrix detachable coils.Methods 23 intracranial aneurysm patients with 24 aneurysms were intrasaccularly embolized with Matrix detachable coils and analyzed respectively.Results Among 24 aneurysms,100% occlusion was reached in 15 (62.5%),95% in 5 (20.8%) and 90% in 4(16.7%) respectively with morality of zero and permanent morbidity of zero.Conclusion Embolization with Matrix detachable coils is a better choice than common GDC in treatment of intracranial aneurysm.