Department of Neurological Surgery, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
J Neurointerv Surg. 2013 Mar;5(2):104-9. doi: 10.1136/neurintsurg-2012-010263. Epub 2012 Feb 19.
Endovascular coil embolization has become an accepted and often first-line treatment for ruptured and unruptured intracranial aneurysms. While the complications of endovascular therapy of intracranial aneurysms have been well vetted in the literature, there are few reports solely concerning the complications and salvage techniques related to either the technical aspects of coil deployment or to the devices themselves. In this review the structural details of commonly used endovascular coils, technical complications related to coiling and salvage techniques used when these complications occur are discussed.
血管内线圈栓塞已成为破裂和未破裂颅内动脉瘤的一种公认的、通常也是一线治疗方法。虽然颅内动脉瘤血管内治疗的并发症在文献中已经得到很好的研究,但很少有报告专门涉及与线圈部署的技术方面或与器械本身相关的并发症和挽救技术。在这篇综述中,讨论了常用的血管内线圈的结构细节、与线圈相关的技术并发症以及发生这些并发症时使用的挽救技术。