颅内动脉瘤血管内治疗的研究进展

永斌 魏(承德医学院附属医院神经外科，中国)
甜 田(承德医学院附属医院神经外科，中国)
文浩 孙(承德医学院附属医院神经外科，中国)
远贞 马(承德医学院附属医院神经外科，中国)

摘要

颅内动脉瘤是由于局部血管异常变化所引起的血管瘤样扩张，容易导致患者蛛网膜下腔出血，是一种具有高致死率与高致残率的脑血管疾病。血管内治疗主要经历载瘤动脉和动脉瘤闭塞、动脉瘤瘤腔内栓塞和载瘤动脉重建等3个研究阶段。其中，最常用的是动脉瘤腔内的栓塞治疗，包括单纯弹簧圈栓塞、球囊/支架辅助栓塞等。随着神经介入医师的经验提升和各种新型支架及辅助栓塞材料的出现，经血管内介入治疗的患者的病死率及复发率明显降低。然而，对于宽颈、巨大以及分叉处等特殊部位的动脉瘤的治疗仍面临血栓形成、不能完全闭塞及复发率高等问题。本研究结合相关文献，针对颅内动脉瘤血管内治疗的发展进行综述，以此为临床提供参考。

关键词

颅内动脉瘤；血管内治疗；支架辅助栓塞；弹簧圈

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DOI: http://dx.doi.org/10.12345/yzlcyxzz.v6i12.14917