经微导管送入国产钨丝微螺旋圈治疗颅内囊状动脉瘤

Therapeutic embolization of intracranial saccular aneurysms by injection of self-made tungsten microcoils through microcatheters

报告10例颅内囊状动脉瘤,其中后交通动脉瘤4例,前交通动脉瘤4例,大脑中动脉瘤1例,基底动脉分叉部动脉瘤1例,均行血管内治疗,应用自制钨丝螺旋圈闭塞动脉瘤,保持载瘤动脉通畅,全部治愈。

Intracranial saccular aneurysms,which always cause essential subarachnoid hemorrhage and endanger the patients lives, were traditionally treated by surgical clipping or excision. Six cases of intracranial saccular a-neurysms endovascularly embolized with the tungsten microcoils were reported in this paper. The origin of the aneurysms was as follows: the posterior communicating arteries in three, the anterior communicating artery in one, the basilar artery bifurcation in one and the middle artery in one. All the six patients were treated using the selfmade tungsten mi-crocoils via an endovascular approach. A complete aneurysm occlusion was achieved in all the patients, in whom parent arteries were preserved.