目的

分析应用双微导管技术治疗颅内宽颈动脉瘤疗效、复发及并发症。

方法

回顾性分析13例采用双微导管技术栓塞破裂的宽颈动脉瘤患者的临床资料，均随访3年以上。均采用动脉瘤栓塞程度的判断标准及格拉斯哥评分(GCS)进行评估，并总结了长期疗效、复发及并发症情况。

结果

经长期随访，在急性期应用双微导管技术栓塞破裂动脉瘤，复查全脑血管造影(DSA)示动脉瘤瘤腔闭塞100%者9 例(69.2%)，闭塞95%以上者2 例(15.3%)，闭塞90%者1 例(7.69%)，栓塞小于80%者1例(7.69%)。格拉斯哥预后评分(GOS)5分9例(69.23%)，4分3例(23.08)，3分1例(7.69%)。

结论

对于常规方法治疗宽颈动脉困难或者失败的病例，尝试应用双微导管技术栓塞，是一种有效的治疗方法。

Objective

To analyze the dual micro- catheter treatment of wide- necked intracranial aneurysm, the palindromia and the complication.

Methods

We use retrospective analysis to study 13 clinical materials of the patients of wide-necked aneurysm, follow up more than 3 years. In the meanwhile,we adopt the criterion of embolization degree and estimate the Glasgow Rating, combined the situation of long-term curative effect, the palindromia and the complication.

Result

We come to a conclusion about the review of DSA aneurysms lumen occlusion with long-term fl.up, applying of dual themicrocatheter ruptured aneurysms embolization technique in the emergency period:9 cases of 100%(69.2%)of occlusion,2 cases of over 90%(15.3%)of occlusion,1 case of 90%of occlusion(7.69%)and 1 case of below 80%of embolism.Finally,there are 9 cases of 5 points (69.23%), 3 cases of 4 points (23.8%) and a case of 3 points (7.69%), according to the final grade of Glasgow Rating.

Conclusion

It’ s an effective method to use the dual microcatheter ruptured aneurysms embolization technique applying to the difficult cases or aborted cases, which are using the traditional cure.