颅内动脉瘤性蛛网膜下腔出血的血管内治疗。

Endovascular treatment of aneurysmal subarachnoid hemorrhage.

机构信息

Division of Interventional Neuroradiology, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Nelson Building, B-100, Baltimore, MD 21287, USA.

出版信息

Neurosurg Clin N Am. 2010 Apr;21(2):271-80. doi: 10.1016/j.nec.2009.10.004.

DOI:10.1016/j.nec.2009.10.004

PMID:20380969

Abstract

Aneurysmal subarachnoid hemorrhage is a deadly disease associated with high morbidity and mortality. Surgical clipping has been the gold standard treatment for more than 70 years. Endovascular therapy is now accepted as a valid alternative therapeutic modality. The authors' approach emphasizes collaboration between endovascular and surgical specialists. The array of new endovascular techniques has extended beyond the Guglielmi Detachable Coil to include new stents and flow-diverting devices. The future promises expansion of the number of types of aneurysms that are treatable with endovascular techniques.

摘要

颅内动脉瘤性蛛网膜下腔出血是一种致命性疾病，具有高发病率和死亡率。夹闭手术已经成为 70 多年以来的金标准治疗方法。血管内治疗现在被认为是一种有效的替代治疗方式。作者的方法强调了血管内和外科专家之间的合作。一系列新的血管内技术已经超出了可脱性弹簧圈的范围，包括新的支架和血流导向装置。未来有望扩大可通过血管内技术治疗的动脉瘤类型的数量。