水解脱弹簧圈填塞治疗急性期破裂颅内动脉瘤1例

Trufill detachable coils for acute ruptured intracranial aneurysms in one case

背景:以往多采用电解脱弹簧圈填塞治疗颅内动脉瘤,但电解脱弹簧圈解脱时间较长,解脱区质地硬,并发症发生率较高,不利于微小动脉瘤的栓塞。目的:观察水解脱弹簧圈填塞治疗急性期破裂颅内动脉瘤的效果。方法:经头颅CT检查确认蛛网膜下腔出血并有脑叶出血1例,数字减影血管造影系统证实为颅内动脉瘤,采用水解脱弹簧圈栓塞动脉瘤。结果与结论:经过治疗,患者破裂动脉瘤致密栓塞,填塞达99%,出血得到控制。提示水解脱弹簧圈的超柔软性及对瘤体壁的顺应性,操作方便,提高了动脉瘤的致密性栓塞的可能性,减少并发症的可能,应该为目前急性期颅内动脉瘤破裂较好的栓塞方法。

BACKGROUND：Intracranial aneurysms are often treated using Guglielmi detachable coils,which need long detachment time and more rigid detach area.Moreover Guglielmi detachable coils have a higher incidence of complications,thus it is not conducive to small aneurysm embolization.OBJECTIVE：To observe the clinical efficacy and safety of the Trufill detachable coil in a treatment of acute ruptured intracranial aneurysms.METHODS：A case of subarachnoid hemorrhage with CT scanning was diagnosed as intracranial aneurysm by digital subtraction angiography.Trufill detachable coil was selected to embolize aneurysms.RESULTS ANDCONCLUSION：After treatment,intracranial aneurysm was treated with coils packing successfully,for 99%.The bleeding was under control.The super-softness of hydro-detachable coils and the compliance of the aneurysm wall,as well as the simple operation,can increase the possibility of compactable embolization for intracranial aneurysms,and reduce the complications,considered as an optimal embolization method of acute ruptured intracranial aneurysms currently.