大型和巨大型颅内动脉瘤的血管内介入治疗进展

摘要/Abstract

摘要：

大型和巨大型颅内动脉瘤是指最大径超过1.0 cm和2.5 cm的颅内动脉瘤。包括载瘤动脉闭塞、单纯弹簧圈栓塞、支架辅助弹簧圈栓塞、液态栓塞剂或混合弹簧圈栓塞、覆膜支架植入、血流转向支架植入等多种血管内介入治疗方法均可用于治疗此类动脉瘤，每一种方法的应用都伴随着对动脉瘤发病机制的不断认识和治疗理念的进步。本文主要对此类动脉瘤的血管内介入治疗进展做一综述。

文章导读： 通过对大型和巨大型颅内动脉瘤的血管内介入治疗方法进展的介绍，促进对此类动脉瘤治疗方法的更新和发展方向的了解。

关键词: 动脉瘤; 载瘤血管栓塞; 弹簧圈; 血流转向支架

Abstract:

Large and giant intracranial aneurysms is the maximum diameter more than 1.0 cm and 2.5 cm. Several endovascular modalities including parent artery occlusion, coiling alone, stent-assisted coiling, liquid embolic agent or mixed coil embolization, cover stent, flow diverter may be applied for treating these aneurysms. The application of each method is accompanied on constant acknowledgement of aneurysm pathogenesis and progress of the treatment concept. The aim of this review was to summarize the progress of endovascular modalities in the treatment of large and giant intracranial aneurysms.

Key words: Aneurysm; Parent artery occlusion; Coil; Flow diverter

张建忠1，2，杨鹏飞1，黄清海1，洪波1，赵文元1，许奕1，刘建民1. 大型和巨大型颅内动脉瘤的血管内介入治疗进展[J]. 中国卒中杂志, 2013, 8(11): 894-898.

ZHANG Jian-Zhong*, YANG Peng-Fei, HUANG Qing-Hai, HONG Bo, ZHAO Wen-Yuan, XU Yi, LIU Jian-Min.. Endovascular Treatment of Large and Giant Intracranial Aneurysms[J]. Chinese Journal of Stroke, 2013, 8(11): 894-898.

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