颅内复杂动脉瘤血管内辅助技术的介入治疗

Endovascular treatment of intracranial complicated aneurysms with assisting techniques

目的探讨不同的血管内辅助栓塞技术在颅内复杂动脉瘤介入治疗中的应用。方法采用微导丝微导管辅助技术、双微导管技术、球囊再塑形技术和血管内支架载瘤动脉成形术治疗颅内复杂动脉瘤40例（41个）。结果动脉瘤完全或大部栓塞36个，部分栓塞动脉瘤5个，死亡2例。23例患者获随访，平均随访时间6-12个月，均无再出血，1例大脑中动脉巨大蛇形动脉瘤复发并增大。结论血管内辅助栓塞技术治疗颅内复杂动脉瘤疗效确切。

Objective To investigate the clinical outcomes of different assisting embolic techniques for endovascular treatment of complicated intracranial aneurysms. Methods Fourty-one complicated intracranial aneurysms in 40 cases were treated with microwire and microcatheter assisting technique,double microcatheters technique, balloon remodeling technique or stent endovascularplasty technique. Results Complete or nearly complete occlusion achieved in 36 aneurysms and partial occlusion in 5 aneurysms. Two patients were died. Twenty-three cases were followed up for 6 to 12 months,none of whom suffered from rehleeding. One huge aneurysm of the cerebral middle artery reoccurred and enlarged. Conclusion The endovascular treatment of complicated intracranial aneurysms with assisting technique is efficient and reliable.