Abstract：Objective: To explore the effect of double catheter technique in the interventional treatment of intracranial wide necked aneurysms. Methods: 42 patients with intracranial wide necked aneurysms admitted in our hospital from January 2013 to March 2016 were selected as the subjects. According to the difference of treatment methods, all the patients were divided into two groups: the observation group and the control group. The observation group was treated by double micro catheter intervention, and the control group was treated with stent assisted therapy. The time of two groups of hospitalization and the neurological deficit (NIHSS) score, living activity (ADL) score, Glasgow prognosis score, and the incidence of complications after 6 months after treatment were observed. Results: There was no significant difference in NIHSS scores and ADL scores between the two groups (P > 0.05); The good recovery rate of the two groups was equal (P>0.05). There was no significant difference in mortality, survival rate and disability rate (P>0.05). The incidence of complications in the observation group (14.29%) was lower than that in the control group (33.33%), P<0.05. Conclusion: Double microcatheter technique and stent assisted embolization are effective in the treatment of intracranial wide necked aneurysms, but double microcatheter interventional therapy can reduce the incidence of complications.
黄华东, 罗琨祥, 符黄德, 李传玉, 黄海能. 双微导管技术在颅内宽颈动脉瘤介入治疗中的应用[J]. 河北医学, 2018, 24(8): 1308-1309.
HUANG Huadong, LUO Kunxiang, FU Huangde, et al. The Application of Double Microcatheter Technique in the Interventional Treatment of Intracranial Wide Necked Aneurysm. HeBei Med, 2018, 24(8): 1308-1309.
[1] 徐翔,张志勇,郑宇,等.双微导管技术在血管内介入栓塞治疗老年颅内宽颈动脉瘤中的应用[J].中国老年学,2015,35(8):2128~2129. [2] Zhang Y, et al.Endovascular treatment of irregular and complicated intracranial aneurysms with coils using double microcatheter technique[J].Experimental&Therapeutic Medicine,2017,13(1):75. [3] 宗华,刘跃亭,蒯东,等.颅内宽颈动脉瘤的血管内介入治疗技术进展[J].中外医疗,2015(24):190~192. [4] 陈安平,周宁全,杨华,等.颅内宽颈动脉瘤的血管内介入栓塞治疗[J].医药卫生:文摘版,2016,(7):67. [5] 魏文锋,袁雪松,刘平,等.双微导管技术介入治疗颅内不规则复杂动脉瘤的疗效[J].江苏医药,2016,42(23):2558~2560.
2018, Vol. 24 
冀公网安备13080202000677号