大脑中动脉瘤的血管内介入治疗

Endovascular interventional therapy of middle cerebral artery aneurysms

大脑中动脉瘤是常见的颅内动脉瘤,大脑中动脉解剖关系特殊,其动脉瘤破裂较其他幕上动脉瘤产生的临床症状更加严重,预后更差。随着介入治疗技术的不断发展,世界上很多医疗中心已经将介入栓塞治疗作为动脉瘤的首选治疗方式。然而,大脑中动脉动脉瘤治疗方式尚存争议,选择合适的病例进行治疗是首要的问题。

Middle cerebral artery aneurysm is one of common intracranial aneurysms. Because of the special anatomy of the middle cerebral artery, the symptoms and prognosis of patient with ruptured aneurysm at this location are worse than the other supratentorial aneurysms. With the continuous development of interventional treatment technology, endovascular detachable coil embolization has increasingly become the preferred treatment modality for intracranial aneurysms in many medical centers of the world. However, the treatment of middle cerebral artery aneurysm remains controversial, the selection of the appropriate patients for treatment is the primary problem.