微导管成袢技术超选颅内锐角血管或动脉瘤的安全有效性

Safety and Effectiveness of Microtubule Looping Technique Super-Selective Treatment for Intracranial Acute Vascular or Arterial Aneurysm

目的 研究分析微导管成袢技术超选颅内锐角血管或动脉瘤的安全有效性。方法 整群选取该院2011年6月-2015年6月期间收治的颅内动脉瘤患者187例,通过DSA明确诊断颅内伴有动静脉畸形或静脉瘘,均通过微导丝与微导管塑型成袢技术超选治疗。结果 187例颅内动脉瘤患者通过微导管成袢技术塑型治疗,均成功完成手术操作,其责任动脉保留较为良好。术后即可造影结果中169例患者为稳定,13例为再通,5例为血栓形成。术后7例患者出现轻度血管痉挛,其中2例发生血管事件。拉斯哥预后评分结果中171例患者术后恢复良好,达到5分,余下16例患者术后症状明显缓解,拉斯哥预后评分为3~4分。结论 在治疗锐角血管或动脉瘤中采用微导管成袢技术超选介入,手术成功率较高,并且疗效确切,安全性得到了明显提升,值得临床广泛应用。

Objective To research and analyze the safety and effectiveness of microtubule looping technique super-selective treatment for intracranial acute vascular or arterial aneurysm. Methods 187 cases of patients with intracranial arterial aneurysm treated in our hospital from June 2011 to June 2015 were selected and definitely diagnosed with intracranial arteriovenous malformation or venous fistula through DSA, and they were given super-selective treatment by microguide wire and microtubule molding looping technique. Results All patients had successfully finished operation and the offending artery retention of the patients was good, the immediate angiographic results after operation showed that 169 cases were steady, 13 cases were repatency, 5 cases were thrombopoiesis, 7 cases were with mild vascular spasm after operation, among them, 2 cases were with vascular events, the Glasgow prognosis score showed that 171 cases had a good recovery after operation and the score reached 5, the symptoms after operation of the other 16 cases were obviously relieved and the score reached 3~4. Conclusion Microtubule looping technique super-selective intervention in treatment of acute vascular or arterial aneurysm has a higher operation successful rate and the curative effect is definite, the security is obviously improved,which is worth wide application in clinic.