经血管内入路囊性动脉瘤电血栓形成术（第二部分：初步临床经验）

Electrothrombosisofsaccularaneurysmsviaendovascularapproach(Part2:Preliminaryclinicalexperience)

经血管内入路应用电解脱弹簧圈治疗高危颅内囊性动脉瘤患者15例。患者年龄21-69岁。最常见临床表现为蛛网膜下腔出血（8例）。全部15例患者均实现相当大程度的动脉瘤内血栓形成（70-%），14例患者载瘤动脉得以保留。虽然1例患者出现与该技术相关的暂时性神经功能恶化，但在全组患者未见永久性神经功能缺失，亦无死亡。该新技术被认为是可行的高危颅内囊性动脉瘤患者的替代治疗方法，也可能会在蛛网膜下腔出血急性期的动脉瘤闭塞中发挥重要作用。

Fifteenpatientswithhigh-riskintracranialsaccularaneurysmsweretreatedusingelectrolyticallydetachablecoilsintroducedviaanendovascularapproach.Thepatientsrangedinagefrom21to69years.Themostfrequentclinicalpresentationwassubarachnoidhemorrhage(eightcases).Considerablethrombosisoftheaneurysms(70%to%)wasachievedinall15patients,andpreservationoftheparentarterywasobtainedin14.Althoughtemporaryneurologicaldeteriorationduetothetechniquewasrecordedinonepatient,nopermanentneurologicaldeficitwasobservedinthisseriesandtherewerenodeaths.Itisbelievedthatthisnewtechnologyisaviablealternativeinthemanagementofpatientswithhigh-riskintracranialsaccularaneurysms.Itmayalsoplayanimportantroleintheocclusionofaneurysmsintheacutephaseofsubarachnoidhemorrhage.

关键词：动脉瘤，电血栓形成术，可解脱弹簧圈，栓塞，神经介入放射学，血管内治疗

KeyWords:aneurysm,eletrothrombosis,detachablecoils,embolization,interventionalneuroradiology,endovasculartherapy

原文出处：GuglielmiG,Vi?uelaF,DionJ,etal.Electrothrombosisofsaccularaneurysmsviaendovascularapproach.Part2:Preliminaryclinicalexperience.JNeurosurg,;75(1):8-14.