Selective endovascular treatment of 71 intracranial aneurysms with platinum coils.
Selective endovascular treatment of 71 intracranial aneurysms with platinum coils.
复制标题
铂金弹簧圈选择性血管内治疗71例颅内动脉瘤。
DOI：
10.3171/jns.1993.79.1.0003
复制
发表时间：
1993
影响因子：
4.1
通讯作者：
J. Merland
中科院分区：
文献类型：
--
作者：
A. Casasco;A. Aymard;Y. Gobin;E. Houdart;A. Rogopoulos;B. George;J. Hodes;J. Cophignon;J. Merland
通过血管内技术治疗了71例颅内动脉瘤，并在动脉瘤囊内放置了微弹簧圈。大多数动脉瘤表现为出血（67例），其中43例在发病后的前3天内接受了治疗。在1年随访检查时，84.5%的病例结局评分为良好，但发病率和死亡率分别为4.2%和11.3%。治疗了29例前循环动脉瘤和42例后循环动脉瘤。在该系列中，23例患者被分类为Hunt和Hess神经系统I级，27例为II级，12例为III级，9例为IV级，无一例为V级。33例动脉瘤直径小于10 mm，28例为10 - 25 mm，10例大于25 mm。本研究的初步结果似乎证明了该方法对动脉瘤进行紧急治疗的合理性。后循环中的动脉瘤特别适合这种类型的手术。
Seventy-one intracranial aneurysms were treated by endovascular techniques, with the placement of minicoils inside the aneurysmal sac. Most aneurysms were manifest by hemorrhage (67 cases), and 43 of these were treated within the first 3 days after presentation. At the 1-year follow-up examination, the outcome was scored as good in 84.5% of cases, but the morbidity and mortality rates were 4.2% and 11.3%, respectively. Twenty-nine aneurysms in the anterior circulation and 42 in the posterior circulation were treated. In this series, 23 patients were classified as Hunt and Hess neurological Grade I, 27 as Grade II, 12 as Grade III, nine as Grade IV, and none as Grade V. Thirty-three aneurysms were less than 10 mm in diameter, 28 were 10 to 25 mm, and 10 were larger than 25 mm. The preliminary results from this study appear to justify the emergency treatment of aneurysms by this approach. Aneurysms in the posterior circulation are particularly well suited for this type of surgery.