Abstract:

The occurrence of craniocerebral aneurysm is mainly due to the outward cystic swelling of the intracranial artery wall under the influence of hemodynamics. Rupture of intracranial aneurysm is a main cause of subarachnoid hemorrhage, second only to ischemic cerebrovascular embolism and hemorrhagic cerebrovascular accidents caused by hypertension, and is one of the common diseases in cerebrovascular neurosurgery. The disease tends to occur in middle-aged and elderly people between 40 and 70 years old, and the onset is sudden, disabling, with a high fatality rate, often bringing serious economic burden to the society and the family. Foreign scholars have been constantly carrying out further researches on the treatment of the disease. Serbinenko first proposed the endovascular treatment of aneurysms in the 1970s, but it was limited by the high requirements and lack of interventionary materials. It was not until the 1990s that Guido Guglielmi invented the detachable spring coil, which made a breakthrough in the treatment of intracranial aneurysms. With the continuous progress of modern science and technology, endovascular intervention materials and technologies have also undergone earth-shaking changes, and people have gradually understood the superiority of minimally invasive intervention in the treatment of endovascular diseases. This article mainly reviews the development of interventional materials and techniques for intracranial aneurysms.

Key words:

Intracranial aneurysm, Intravascular treatment, Spring coil, Stent, Progcess

摘要：

颅脑动脉瘤的发生主要是因为颅内动脉血管管壁在血流动力学的影响下向外囊性膨出。颅内动脉瘤破裂是引起蛛网膜下腔出血的主要病因之一，仅次于缺血性脑血管栓塞和高血压引起的出血性脑血管意外，是脑血管神经外科常见的疾病之一，好发于40～70岁中老年人，且起病突然，致残、致死率高，常给社会及家庭带来沉重的经济负担。对该疾病的治疗，国外学者也在不断进行着更进一步的研究。最早可以追溯到上世纪70年代，由Serbinenko最先提出血管内治疗动脉瘤的方法，但限于介入材料的高要求及匮乏，直到90年代，Guido Guglielmi发明出可脱性弹簧圈，使颅内动脉瘤的治疗取得突破性进展。随着现代科学技术的不断进步，血管内介入材料及技术也不断变化，人们也逐渐了解微创式介入治疗血管内疾病的优越性。本文主要对颅内动脉瘤介入材料及介入技术的发展进行综述。

关键词:

颅内动脉瘤, 血管内治疗, 弹簧圈, 支架, 进展