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[使用古列尔米螺旋圈对无法手术的脑动脉瘤进行血管内治疗;荷兰的初步结果]

[Intravascular treatment of inoperable cerebral aneurysms using Guglielmi's spirals; initial results in The Netherlands].

作者信息

van Rooij W J, Sluzewski M, Wijnalda D, Verhagen I, Schellens R L, op de Coul A A

机构信息

St. Elisabeth Ziekenhuis, werkgroep Neurovasculaire Interventie, Tilburg.

出版信息

Ned Tijdschr Geneeskd. 1996 Mar 2;140(9):491-5.

PMID:8628437
Abstract

OBJECTIVE

Evaluation of endovascular treatment of inoperable cerebral aneurysms using electrolytically detachable platinum coils (Gugliemi Detachable Coils, GDC).

DESIGN

Retrospective.

SETTING

St. Elizabeth Hospital Tilburg, the Netherlands.

METHOD

Fifteen aneurysms in 13 patients were treated using GDC; 14 of these aneurysms were inoperable and in three aneurysms surgical clipping had failed.

RESULTS

Twelve of the 15 treated aneurysms were completely occluded. In another two, occlusion was 90% and in one, 70%. One patient with an inoperable basilar bifurcation aneurysm died of progressive thrombosis of both posterior cerebral arteries. One patient with an inoperable aneurysm of the anterior communicating artery developed an infarction of the A. centralis longa (recurrent artery of Heubner).

CONCLUSION

GDC treatment of inoperable cerebral aneurysms is currently the only available option with a reasonable chance of success and acceptable risks.

摘要

目的

评估使用电解可脱性铂弹簧圈( Gugliemi 可脱性弹簧圈,GDC)对无法手术的脑动脉瘤进行血管内治疗的效果。

设计

回顾性研究。

地点

荷兰蒂尔堡圣伊丽莎白医院。

方法

对13例患者的15个动脉瘤使用GDC进行治疗;其中14个动脉瘤无法手术,3个动脉瘤手术夹闭失败。

结果

15个接受治疗的动脉瘤中,12个完全闭塞。另外2个闭塞率为90%,1个为70%。1例患有无法手术的基底动脉分叉动脉瘤的患者死于双侧大脑后动脉进行性血栓形成。1例患有无法手术的前交通动脉瘤的患者发生了中央长动脉(Heubner回返动脉)梗死。

结论

目前,GDC治疗无法手术的脑动脉瘤是唯一具有合理成功机会且风险可接受的可用选择。

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1
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A randomized trial on the safety and efficacy of endovascular treatment of unruptured intracranial aneurysms is feasible.一项关于未破裂颅内动脉瘤血管内治疗安全性和有效性的随机试验是可行的。
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