颅内动脉瘤血管内治疗方式进展

远贞 马(承德医学院附属医院，中国)
继伟 张(承德医学院附属医院，中国)
洋 刘(承德医学院附属医院，中国)

摘要

颅内动脉瘤是由于局部血管异常改变所引起的脑血管瘤样凸起，其破裂会引发蛛网膜下腔出血及具有高致残、高致死率的脑内血肿，是神经外科领域长期以来的严峻挑战。根据流行病学数据显示，颅内未破裂动脉瘤的年破裂率约为1%，且随着动脉瘤直径的增加、患者存在SAH病史，其破裂风险均呈指数级升高。近三十年来，颅内动脉瘤的治疗方式经历了从开颅夹闭到血管内治疗的变革，近年来又围绕支架制造工艺如雕刻支架、编织支架、血流导向装置、瘤内扰流装置，支架与涂层材料进行深入探索。本研究针对颅内动脉瘤血管内治疗的研究的近年发展进行综述，以此为临床治疗提供参考。

关键词

颅内动脉瘤；血管内治疗；支架辅助弹簧圈栓塞术；血流导向装置；瘤内扰流

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DOI: http://dx.doi.org/10.12345/yzlcyxzz.v9i3.37292