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血管内治疗大脑中动脉动脉瘤的研究进展
王川川,黄清海*
0
(第二军医大学长海医院神经外科, 上海 200433
*通信作者)
摘要:
大脑中动脉(MCA)动脉瘤的最佳治疗方式仍存在争议。开颅手术夹闭一直是治疗MCA动脉瘤的首选方法,但随着血管内介入技术的进步和器具的改进,血管内治疗MCA动脉瘤的安全性和疗效也有进一步改善,并逐渐成为一种重要治疗方法。本文对MCA动脉瘤血管内治疗新技术及其安全性与疗效进行文献综述,以期为MCA动脉瘤治疗方式选择提供更多证据。
关键词:  颅内动脉瘤  大脑中动脉  血管内治疗
DOI:10.3724/SP.J.1008.2015.00661
投稿时间:2014-11-17修订日期:2015-01-27
基金项目:"十二五"国家科技与支撑计划 (2011BAI08B14),第二军医大学长海医院"1255"学科特色提升项目 (CH125520100).
Endovascular treatment of middle cerebral artery aneurysms: recent progress
WANG Chuan-chuan,HUANG Qing-hai*
(Department of Neurosurgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
*Corresponding authors)
Abstract:
Controversy still exists as to the best mode for treating middle cerebral artery (MCA) aneurysms. Surgical clipping remains the optimal treatment in many institutions. With the progression of endovascular technique and devices, the safety and efficacy of endovascular treatment of MCA aneurysms have been further improved and endovascular approach has become an acceptable alternative. This review discussed the recent progress on endovascular treatment of MCA aneurysms and assessed its safety and effectiveness, hoping to provide evidences for neurointerventionalists to select appropriate therapies.
Key words:  intracranial aneurysm  middle cerebral artery  endovascular treatment