电解可脱性弹簧圈栓塞治疗颅内动脉瘤

Endovascular Treatment of Intracranial Aneurysms With Guglielmi Detachable Coils

目的:探讨电解可脱性弹簧圈栓塞治疗颅内动脉瘤的疗效、操作方法及技术要点.方法:回顾性分析了21例经电解可脱性弹簧圈栓塞治疗的颅内动脉瘤患者的临床资料.结果:23个动脉瘤100%栓塞17个,95%栓塞3个,90%栓塞2个,过度栓塞1个.术后随访3～14月,无再出血病例发生,其中2例重残,3例轻残,15例恢复良好,1例死亡.结论:电解可脱性弹簧圈血管内栓塞治疗颅内动脉瘤具有安全、微创的优点,是颅内动脉瘤主要的治疗手段.

Objective： To investigate the effect and technical tip of the embolization of intracranial aneurysms by using Guglielmi Detuachable Coils（GDCs）. Methods： Clinical data from 21 cases with intracranial aneurysms of the embolization by using Guglielmi Detachable Coils were analyzed retrospectively. Results： Total occlusion was achieved in 17 aneurysms, 95% in 3 aneu- rysms,90% in 2 aneurysms. Over embolization occurred in 1 aneurysms. Following up was performed for 3 to 14 months. Two patients had severe disability,3 had moderate neurological deficit symptoms,15 had good results,and 1 died. No patient rebleeded. Conclusion：Embolization of intracranial aneurysms with GDCs is microtraumatic, safe and effective. It is a important method for treatment of intracranial aneurysm.