Department of Neurology, Wayne State University, Detroit, Michigan 48201, USA.
J Neurointerv Surg. 2012 Jan 1;4(1):27-30. doi: 10.1136/jnis.2009.001974. Epub 2011 Apr 14.
Multiple intracranial aneurysms are common. While sequential clipping of multiple aneurysms during a single open surgical procedure has been reported, the same is not true for endovascular coiling. We present our experience describing the safe coiling of multiple aneurysms in the same setting.
Retrospective review of our coiling log between 2006 and 2009 showed six cases in which multiple aneurysms were coiled in the same session.
All patients were coiled using the same microcatheter. Distal aneurysms were coiled first. Good occlusion rates were achieved in all cases. There were no thromboembolic events or procedure-related rupture or mortality.
In addition to safety and efficacy, cost savings are expected when coiling multiple aneurysms in the same procedure.
颅内多发动脉瘤较为常见。虽然已有研究报道在单次开颅手术中序贯夹闭多个动脉瘤，但血管内弹簧圈治疗并非如此。我们报告了在同一情况下安全治疗多个颅内动脉瘤的经验。
回顾性分析我们在 2006 年至 2009 年间的弹簧圈治疗日志，其中有 6 例患者在同一时间段内接受了多个颅内动脉瘤的弹簧圈治疗。
所有患者均使用相同的微导管进行弹簧圈治疗。首先对远端动脉瘤进行弹簧圈治疗。所有病例均达到了良好的闭塞率。未发生血栓栓塞事件或与操作相关的破裂或死亡。
除了安全性和有效性之外，在同一治疗过程中对多个颅内动脉瘤进行弹簧圈治疗还可节省成本。
