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本文引用的文献

1
Intracranial Aneurysm Embolization Using Interlocking Detachable Coils. Correlation between Volume Embolization Rate and Coil Compaction.使用可互锁可分离线圈进行颅内动脉瘤栓塞。体积栓塞率与线圈压缩之间的相关性。
Interv Neuroradiol. 1997 Nov 30;3 Suppl 2:125-8. doi: 10.1177/15910199970030S226. Epub 2001 May 15.
2
Significance of volume embolization ratio as a predictor of recanalization on endovascular treatment of cerebral aneurysms with guglielmi detachable coils.容积栓塞率作为使用 Guglielmi 可脱性弹簧圈血管内治疗脑动脉瘤时再通预测指标的意义
Interv Neuroradiol. 2000 Nov 30;6 Suppl 1(Suppl 1):59-63. doi: 10.1177/15910199000060S106. Epub 2001 May 15.
3
Aneurysm packing with HydroCoil Embolic System versus platinum coils: initial clinical experience.使用HydroCoil栓塞系统与铂铱合金弹簧圈进行动脉瘤栓塞：初步临床经验。
AJNR Am J Neuroradiol. 2004 Jan;25(1):60-2.
4
Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils.使用可脱卸弹簧圈对动脉瘤进行选择性血管内治疗后的长期血管造影复发情况。
Stroke. 2003 Jun;34(6):1398-403. doi: 10.1161/01.STR.0000073841.88563.E9. Epub 2003 May 29.
5
Guglielmi detachable coil embolization of cerebral aneurysms: 11 years' experience.Guglielmi可脱性弹簧圈栓塞治疗脑动脉瘤：11年经验
J Neurosurg. 2003 May;98(5):959-66. doi: 10.3171/jns.2003.98.5.0959.
6
Endovascular treatment of basilar tip aneurysms with Guglielmi detachable coils: predictors of immediate and long-term results with multivariate analysis 6-year experience.使用 Guglielmi 可脱卸弹簧圈对基底动脉尖部动脉瘤进行血管内治疗：多变量分析对即刻和长期结果的预测因素——6 年经验
Radiology. 2003 Mar;226(3):867-79. doi: 10.1148/radiol.2263011957. Epub 2003 Jan 24.
7
Cerebral aneurysm perforations complicating therapy with Guglielmi detachable coils: a meta-analysis.使用 Guglielmi 可脱卸弹簧圈治疗时并发的脑动脉瘤穿孔：一项荟萃分析。
AJNR Am J Neuroradiol. 2002 Nov-Dec;23(10):1706-9.
8
New expandable hydrogel-platinum coil hybrid device for aneurysm embolization.用于动脉瘤栓塞的新型可扩张水凝胶-铂线圈混合装置。
AJNR Am J Neuroradiol. 2002 Oct;23(9):1580-8.
9
Evaluation of the stability of aneurysms after embolization using detachable coils: correlation between stability of aneurysms and embolized volume of aneurysms.使用可脱卸弹簧圈栓塞后动脉瘤稳定性的评估：动脉瘤稳定性与动脉瘤栓塞体积之间的相关性。
AJNR Am J Neuroradiol. 2002 May;23(5):762-7.
10
Follow-up angiography of intracranial aneurysms treated with endovascular placement of Guglielmi detachable coils.用 Guglielmi 可脱性弹簧圈血管内植入治疗颅内动脉瘤后的随访血管造影
Neurosurgery. 2002 Feb;50(2):239-49; discussion 249-50. doi: 10.1097/00006123-200202000-00003.

血管内动脉瘤栓塞用HydroCoil（HEAL）研究：围手术期结果

HydroCoil for Endovascular Aneurysm Occlusion (HEAL) study: periprocedural results.

作者信息

Cloft H J

机构信息

Department of Radiology, Mayo Clinic, Rochester, Minnesota 55905, USA.

出版信息

AJNR Am J Neuroradiol. 2006 Feb;27(2):289-92.

PMID:16484394
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8148802/
Abstract

BACKGROUND AND PURPOSE

The HydroCoil Embolic System (HES) was developed to improve the efficacy of endovascular treatment of cerebral aneurysms. The purpose of this study is to study the periprocedural results in patients with cerebral aneurysms treated with HES.

METHODS

We report the initial periprocedural results in 191 cerebral aneurysms treated with HES in the HydroCoil for Endovascular Aneurysm Occlusion, or HEAL, study. Initial aneurysm occlusion and periprocedural complication rates were evaluated and compared with historical control data regarding aneurysms treated with platinum coils.

RESULTS

An initial occlusion result of "complete" or "near-complete" was achieved in 91.8% of aneurysms. Periprocedural thromboembolic events occurred in 8.1% of aneurysms treated with neurologic deficits related to thromboemboli occurring in 2.1% of aneurysms treated. Intraprocedural aneurysm perforations occurred in 2.8% of previously ruptured aneurysms, and in 0% of previously unruptured aneurysms.

CONCLUSION

The initial occlusion success and complication rate when HES is used to treat cerebral aneurysms is not significantly different from platinum coils. Follow-up angiography is currently being collected and will be evaluated to determine if use of the HES reduces the rate of aneurysm recurrence.

摘要

背景与目的

研发HydroCoil栓塞系统（HES）旨在提高脑动脉瘤血管内治疗的疗效。本研究的目的是探讨采用HES治疗的脑动脉瘤患者的围手术期结果。

方法

我们报告了在“用于血管内动脉瘤闭塞的HydroCoil（HEAL）”研究中191例采用HES治疗的脑动脉瘤的初始围手术期结果。评估了初始动脉瘤闭塞情况和围手术期并发症发生率，并与使用铂线圈治疗动脉瘤的历史对照数据进行比较。

结果

91.8%的动脉瘤实现了“完全”或“近乎完全”的初始闭塞结果。8.1%接受治疗的动脉瘤发生围手术期血栓栓塞事件，其中2.1%接受治疗的动脉瘤出现与血栓栓塞相关的神经功能缺损。2.8%既往破裂的动脉瘤在手术过程中发生动脉瘤穿孔，既往未破裂的动脉瘤未发生穿孔。

结论

使用HES治疗脑动脉瘤时的初始闭塞成功率和并发症发生率与铂线圈无显著差异。目前正在收集随访血管造影资料，并将进行评估以确定使用HES是否能降低动脉瘤复发率。