可电解脱性铂金圈栓塞治疗颅内动脉瘤

Endovascular treatment for intracranial aneurysms with Guglielmi detachable coils

目的 评估可电解脱性铂金圈 (GDC)栓塞治疗颅内动脉瘤的临床疗效及应用价值。方法 用GDC栓塞治疗颅内动脉瘤 8例 ,均为蛛网膜下腔出血 (SAH)病例 ,术前Hunt和Hess氏分级 :5例为Ⅰ级 ,2例Ⅱ级 ,1例Ⅳ级。结果 8例栓塞全部获得成功 ,无死亡及并发症。 8例经造影证实栓塞满意 ,充填率为 95 %～ 10 0 %。本组栓塞后近期均无SAH再发作。结论 GDC栓塞治疗动脉瘤 ,是目前比较理想的治疗方法 。

Objective To evaluate the therapeutic effect of intracranial aneurysmal embolization with the Guglielmi detachable coils(GDC).Methods 8 patients with 8 intracranial aneurysms were treated with GDC.All cases were patients with subarachnoid hemorrhage (SAH).5 patients had Hunt & Hess grade Ⅰ,2 grade Ⅱ and 1 grade Ⅳ.Results Neither death nor permanent complication occurred in this series. A complete occlusion was achieved angiographically in all cases.No SAH occurred after embolization.Conclusion Endovascular treatment of intracranial aneurysms with GDC is a better alternative therapy,but the longterm effects should be verified by followup in the future.