机械可脱性微螺旋圈血管内栓塞治疗颅内动脉瘤

Endovascular treatment of intracranial aneurysms with mechanical detachable spiral neurological

目的 评价机械可脱性微螺旋圈 (MDS N)血管内栓塞治疗颅内动脉瘤的临床效果 ,总结治疗经验。方法 对 36例颅内动脉瘤采用股动脉Seldinger法穿刺插管技术 ,应用MDS N系统送入合适大小的微螺旋圈至动脉瘤腔内并填塞动脉瘤。结果 36例中 ,完全栓塞 32例 ,部分栓塞 4例 ,载瘤动脉保持通畅 ,无死亡或严重并发症发生 ,疗效较好。结论 使用MDS N血管内栓塞治疗颅内动脉瘤是一种操作简便、经济实用、安全有效的方法 ,适合在较大医院中广泛应用。

Objective To evaluate the efficacy of endovascular treatment of intracranial aneurysms with mechanical detachable spiral neurological (MDS N). Methods Thirty six patients with intracranial aneurysms were treated with MDS N by Seldinger's approaches through femoral artery puncture. A catheter was sent into the aneurysm with proper size MDS N system and a spiral was pushed into the aneurysmal lumen. Results The aneurysms were completely occluded in 32 cases while partial occlusion was obtained in 4 patients. The parent arteries remained unobstructed. Follow up of 3～6 months showed that all patients recovered well. No death or permanent serious complication occurred. Conclusion Simple, safe, and low cost, treatment of intracranial aneurysm with MDS N is effective and suitable for use in larger hospital.