前交通动脉瘤的血管内栓塞治疗

Endovscular Treatment of Anterior Communicating Artery Aneurysms

目的探讨前交通动脉瘤的血管内治疗.方法86例前交通动脉瘤中,18例采用机械解脱弹簧圈(MDS-N)栓塞,68例采用电解脱弹簧圈(GDC)栓塞.结果动脉瘤完全闭塞66例,闭塞90%～95%16例,＜90%4例(主要是采用MDS-N栓塞).3例多发性动脉瘤和1例合并AVM,同时一次性栓塞治愈.出院时优79例,良6例,死亡1例.72例随访6～12个月,DSA、MRA检查均未见动脉瘤复发,其中5例额叶局部脑组织轻度软化,但无神经功能障碍.结论前交通动脉瘤采用GDC栓塞效果好,脑梗塞等并发症少.

Objective To explore the endovascular treatment of anterior communicating artery (ACA) aneurysms. Methods Of 86 patients with ACA aneurysms, 18 received endvascular embolization with (MDS-N) and 68 with GDC. Results The aneurysms were embolized by 100% in 66 patients, by 90%～95% in 16, by less than 90% in 4. Satisfactory recovery was obtained in 79 patients, good in 6 and 1 patient died after the embolization. Of 72 patients followed up for 6 to 12 months, 67 had excellent outcomes and 5 had mild local encephalodialysis in the frontal lobes, which did not produce the cerebral disfunction. Conclusions The good curative effect can be obtained in the patients with ACA aneurysms by endovascular embolization with GDCs, which makes fewer complications.