在過去顱內動脈瘤的典型治療方法是神經外科開顱術使用顯微血管夾治療。可是有些病例無法用開顱術治療,因此我們發展血管內治療(栓塞術)。 我們在1986年開始對顱內動脈瘤作血管內治療:近端動脈阻塞之治療有20個病例,在1988-1995年間我們用可分離式囊球、線圈、組織膠置入於動脈瘤內以保留動脈本身治療了24例,在1997年我們用互鎖式分離式線圈(interlocking detachable coil)治療了一例,在1997-2000年間我們用了GDC治療了40例。 由於導管及栓塞治療之材料及相關醫藥的進步,顱內動脈瘤用血管內治療已經越來越安全。血管內治療將來可能變成顱內動脈之主要治療方法。
The standard treatment of intracranial aneurysm is neurosurgical craniotomy and clipping. We developed intravascular treatment for these aneurysms because We encountered some cases that were difficult for surgical clipping. Between 1986-2000, we did embolization of the aneurysm by parent artery occlusion in 20 cases of intracranial aneurysm. In 1988-1995 detachable balloon, coil, and tissue adhesive to put inside the aneurysm for embolization in 24 patients. In 1997, Interlocking detachable coil was used in one patient. In 1997-2000, GDC was put inside the lumen of the aneurysm in 40 cases. As the materials for embolization improves with time, the treatment of intracranial aneurysm becomes safer. Endovascular treatment may become the treatment of choice for intracranial aneurysm in the future.