电解可脱弹簧圈栓塞治疗颅内动脉瘤临床观察

Clinical observation of the treatment of embolization with EDC in intracranial aneurysms

目的评价电解可脱卸弹簧圈(EDC)栓塞治疗颅内动脉瘤的效果。方法32例患者共33个动脉瘤均采用EDC栓塞。其中宽颈动脉瘤4例,采用球囊辅助栓塞(Remodling技术)。结果33个动脉瘤均采用栓塞治疗,100%栓塞25例动脉瘤,90%以上栓塞4例,90%栓塞3例,术后随访3月至1年无一例再出血。结论血管内栓塞治疗颅内动脉瘤是一种安全微创有效的治疗方法。使用弹簧圈栓塞材料操作简单,预后好。对部分填塞之动脉瘤需进一步严格随访。

Objective To evaluate the efficacy of embolization with EDC in intracranial aneurysms. Methods 32 patients with 33 intraeranial aneurysms were treated with EDC embolization. Of them, four wide neck cases were embolized with remodling technique. Results 33 were packing, dense packing in 25 patients, 〉90% packing in 4 cases, 90%packing in 3 cases. Follow-up was performed between 3 months and 1 year after embolization in all cases. Conclusion Endovascular treatment is safe and efficacious. Treatment with coil is simple and have favourable prognosis. Part embolization＇s aneurysms must be strict follow-up.