血管内支架治疗颅内动脉瘤

Endovascular treatment of intracranial aneurysms with stents and coils

目的 探索使用血管内支架及血管内支架结合电解可脱卸弹簧圈 (Guglielmidetachablecoil,GDC)治疗颅内梭形及宽颈动脉瘤的可能性。方法 3例椎动脉颅内段梭形动脉瘤及 6例宽颈动脉瘤 ,首先将冠脉支架跨动脉瘤颈放置 ,通过支架的网孔将微导管送入动脉瘤腔 ,填入GDC。结果 7例动脉瘤致密填塞 ,2例大部填塞 ,载瘤动脉通畅 ,临床效果优良。结论 联合使用支架及微弹簧圈是治疗颅内梭形及宽颈动脉瘤可选择的有效方法之一。

Objective Endovascular stenting or combined stenting and Guglielmi detachable coils packing for the treatment of intracranial fusiform and wide necked aneurysms were reported to access the feasibility of the procedures.Methods The coronary stents were implanted across the neck of 3 vertebral fusiform aneurysms and 6 wide necked aneurysms. Microcatheters were introduced into the aneurysm sacs through stent mesh, and finally GDCs were used to embolize the aneurysms. Results The stents were precisely deployed resulting in total occlusion of 7 cases with more than 90% occlusion in 2 cases. All patients recovered well with patency of the parent arteries.Conclusions Endovascular therapy with combined stent implantation and microcoil placement maybe a valid alteration for the treatment of intracranial fusiform or wide necked aneurysms.