GDC栓塞治疗颅内动脉瘤的探讨(附66例报告)

Study on Guglielmi detachable coils (GDC) embolization of intracranial aneurysms

目的 探讨 GDC栓塞颅内动脉瘤时机及手术技巧。方法 经全脑 DSA检查 ,6 6例颅内动脉瘤患者全部实施血管内 GDC栓塞治疗。股动脉入路 5 7例 ,颈动脉入路 9例。结果 完全栓塞 5 0例 ,次全栓塞 15例 ,失败 1例。 15例患者于栓塞术后半年复查脑血管造影 ,14例显示瘤腔内无造影剂充盈 ,另 1例动脉瘤腔较原来有所增大 ,再次栓塞治疗。结论 GDC是颅内动脉瘤栓塞治疗的有效材料 ,为外科手术提供了补充。

Objective To explore the timing and technique of GDC embolization of intracranial aneurysms. Methods After performing complete cerebral angiography, 66 aneurysms were treated by GDC via endovascular approach,of which 57 via the femoral arteries and 9 via the carotid arteries.Results The number of total occlusion of aneurysms was 50;subtotal occlusion was 15 and failure was 1. Of the 15 cases were performed cerebral angiography again after embolzation half a year 14 showed no contrast medium filling the aneurysm lumens and 1 showed the remnant lumen of aneurysm and larger than before and performed the second GDC embolization was. Conclusions GDC embolization of intracranial aneurysms is an effective technique and provides an important method for the treatment of intracranial aneurysms.