使用 Guglielmi 可解脱弹簧圈对直径小于 10 毫米的破裂颅内动脉瘤进行中期再出血预防。

Midterm prevention of rebleeding by Guglielmi detachable coils in ruptured intracranial aneurysms less than 10 mm.

作者信息

Kawabe Takuya, Tenjin Hiroshi, Hayashi Yasuhiro, Kakita Kiyoto, Kubo Satoshi

机构信息

Department of Neurosurgery, Kyoto Prefectural Yosanoumi Hospital, 481, Otokoyama, Iwatakicho, Yosagun, Kyotofu 629-2261, Japan.

出版信息

Clin Neurol Neurosurg. 2006 Feb;108(2):163-7. doi: 10.1016/j.clineuro.2005.05.009. Epub 2005 Jul 11.

DOI:10.1016/j.clineuro.2005.05.009

PMID:16009486

Abstract

The midterm effects of coil embolization for ruptured aneurysm remain unknown. We investigated the prevention of rebleeding by GDC in ruptured aneurysms. Between March 1998 and April 2003, we treated 38 ruptured aneurysms measuring less than 10 mm in diameter. The patients were followed for a median of 37.3 months. During the follow-up term, aneurysms treated by coil embolization did not develop rebleeding after 1 month. We conclude that an embolized aneurysm measuring 10 mm or less remains quite stable over 3 years.

摘要

弹簧圈栓塞术治疗破裂动脉瘤的中期效果尚不清楚。我们研究了使用GDC（ Guglielmi可脱性弹簧圈）预防破裂动脉瘤再出血的情况。在1998年3月至2003年4月期间，我们治疗了38例直径小于10mm的破裂动脉瘤。患者的中位随访时间为37.3个月。在随访期间，经弹簧圈栓塞治疗的动脉瘤在1个月后未发生再出血。我们得出结论，直径10mm或更小的栓塞动脉瘤在3年多的时间里保持相当稳定。