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目的 :总结 99例颅内动脉瘤的血管内 (介入 )治疗。方法 :应用GDC技术、3 DGDC技术、Stent+GDC技术、BOT技术、BOT +载瘤动脉闭塞技术、GDC +NBCA技术等。结果 :99例均为一次性治疗 ,成功 92例 ( 93 1% ) ,弹簧圈异位 1例 ( 1% ) ,与治疗方法有关的死亡 2例 ( 2 % ) ,术中血栓形成 1例 ( 1% ) ;38例 ( 38 38% )随访 3～ 12个月 ,均无再次蛛网膜下腔出血 ,其中 11例 ( 11 11% )复查脑血管DSA ,未见动脉瘤复发。结论 :改变动脉瘤内和局部载瘤动脉的血流动力学因素、消除动脉瘤行为是血管内 (介入 )治疗的机制 ;BOT实验在血管内 (介入 )治疗颅内动脉瘤中意义重大 ;Stent技术可作为宽颈动脉瘤的血管内 (介入 )治疗方法
Objective: To summarize the intracranial (interventional) treatment of 99 cases of intracranial aneurysms. Methods: GDC technique, 3 DGDC technique, Stent + GDC technique, BOT technique, BOT + carrier artery occlusion technique, GDC + NBCA technique and so on. Results: All of the 99 cases were treated one time, 92 cases (93.1%) were successful, 1 case (1%) had heterotopic coil, 2 cases were related to treatment (2%), 1 case was thrombosis 1%); 38 patients (38 38%) were followed up for 3 to 12 months, no subarachnoid hemorrhage was found. 11 (11 11%) of them rechecked the cerebrovascular DSA. No aneurysm recurrence was observed. CONCLUSIONS: The changes of hemodynamic factors in the aneurysm, the local and local parent artery, and the elimination of aneurysm are the mechanisms of intravascular (interventional) treatment. The BOT is of great significance in the treatment of intracranial aneurysm by endovascular intervention. Stent Technology can be used as a wide-necked aneurysm endovascular (intervention) treatment