Ries Thorsten, Groden Christoph
Department of Neuroradiology, University Hospital Eppendorf, Hamburg, Germany.
Klin Neuroradiol. 2009 Mar;19(1):62-72. doi: 10.1007/s00062-009-8032-1. Epub 2009 May 15.
It is accepted that endovascular treatment for intracranial aneurysms < 2 cm in diameter is not an alternative option to surgical treatment anymore but has rather gained the place as the first therapeutic option. Still, the long-term efficacy of endovascular aneurysm treatment remains uncertain. This article discusses clinical significance, incidence, risk factors and current management of aneurysm recurrence after endovascular treatment of intracranial aneurysms based on own Hamburg data and review of the literature. It also attempts to address potential solutions and future avenues to improve long-term efficacy of endovascularly treated intracranial aneurysms.
目前公认的是，对于直径小于2厘米的颅内动脉瘤，血管内治疗不再是手术治疗的替代选择，而是已成为首选的治疗方案。尽管如此，血管内动脉瘤治疗的长期疗效仍不确定。本文基于我们汉堡的数据并结合文献综述，探讨了颅内动脉瘤血管内治疗后动脉瘤复发的临床意义、发生率、危险因素及当前的处理方法。本文还试图提出潜在的解决方案以及未来的研究方向，以提高颅内动脉瘤血管内治疗的长期疗效。
