[机械可脱卸螺旋圈对颅内动脉瘤的血管内治疗——神经学方面]
[Endovascular treatment of intracranial aneurysms with mechanical detachable spiral-neurological].
作者信息
Zhang Xiang, Fu Luo-an, Wu Jing-wen, Jiang Xiao-fan, Sun Li-jun, Wang Xi-ling, Li Xia
机构信息
Department of Neurosurgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2003 May 10;83(9):759-61.
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.
目的
评估机械可脱卸螺旋神经介入装置（MDS-N）血管内治疗颅内动脉瘤的疗效。
方法
36例颅内动脉瘤患者采用经股动脉穿刺Seldinger法，应用MDS-N进行治疗。将合适型号的MDS-N系统导管送入动脉瘤内，将螺旋圈推送至动脉瘤腔内。
结果
32例动脉瘤完全闭塞，4例部分闭塞。载瘤动脉通畅。随访3～6个月，所有患者恢复良好。无死亡及永久性严重并发症发生。
结论
MDS-N治疗颅内动脉瘤简单、安全、成本低，疗效确切，适合在较大医院开展应用。
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