血管内支架结合电解可脱弹簧圈治疗颅内宽颈动脉瘤

Endovascular stents and Guglielmi detachable coils placement for the treatment of intracranial wide - necked aneurysms

目的 总结使用血管内支架结合电解可脱弹簧圈（GDC）治疗颅内宽颈动脉瘤的体会,探讨其适应证、方法、疗效及并发症。方法18例颅内宽颈动脉瘤,首先将冠脉支架跨动脉瘤颈放置,通过支架上的网孔将微导管送入动脉瘤腔,应用GDC栓塞动脉瘤。结果15例动脉瘤达到致密填塞,3例大部填塞,载瘤动脉通畅。无手术并发症,患者均恢复良好。结论 联合使用支架及微弹簧圈是治疗颅内宽颈动脉瘤的有效方法,远期疗效尚需进一步随访。

Objective Combined endovascular stenting and Guglielmi detachable coils (GDC) packing for the treatment of intracranial wide - necked aneurysms were reported to evaluate the indication, technique, outcome and complications. Methods The coronary stents were implanted across the necks of 18 wide - necked aneurysms. Microcatheters were introduced into the aneurysmal sac through the stent mesh, and GDCs were used to embolize the aneurysms. Results The stents with GDC were deployed in all cases, and total occlusion was obtained in 15 cases while more than 90.0% of occlusion in 3 cases. All patients recovered well with patency of the parent arteries. Conclusion Endovascular therapy combining stent implantation and microcoil placement may be effective for the treatment of intracranial wide - necked aneurysms. Further study is necessary for long - term outcome.