CAJ | 학술논문

探讨颅内宽颈动脉瘤介入治疗技术的现状、发展及存在的问题。通过查阅近10年来国内外颅内动脉瘤介入治疗的相关文献，总结介入治疗技术的进展情况。颅内宽颈动脉瘤目前的治疗方法包括开颅动脉瘤瘤颈夹闭和血管内介入栓塞治疗。新技术及新型材料的发现及应用，使血管内介入治疗技术越来越广泛地应用于颅内动脉瘤，包括双微导管技术、三维弹簧圈成篮技术、支架辅助技术、球囊再塑形技术、密网支架技术、Trispan的应用等。但仍存在复发、再出血和再通等问题。随着血管内介入治疗技术的使用，颅内动脉瘤的临床疗效有了进一步好转，为治疗动脉瘤提供了一个新颖的、安全而有效的选择。
탐토로내관경동맥류개입치료기술적현상、발전급존재적문제。통과사열근10년래국내외로내동맥류개입치료적상관문헌，총결개입치료기술적진전정황。로내관경동맥류목전적치료방법포괄개로동맥류류경협폐화혈관내개입전새치료。신기술급신형재료적발현급응용，사혈관내개입치료기술월래월엄범지응용우로내동맥류，포괄쌍미도관기술、삼유탄황권성람기술、지가보조기술、구낭재소형기술、밀망지가기술、Trispan적응용등。단잉존재복발、재출혈화재통등문제。수착혈관내개입치료기술적사용，로내동맥류적림상료효유료진일보호전，위치료동맥류제공료일개신영적、안전이유효적선택。
This paper mainly discusses the status, development and problems of interventional therapy for wide-necked intracra-nial aneurysms and summarizes its progress through reviewing the related literatures home and abroad in the recent ten years. For this kind of disease, traditional intracranial aneurysm clipping and interventional therapy are two methods mainly used currently, but the latter is applied more and more widely due to the discovery and application of new technologies and new materials, such as double microcatheter technique, three dimensional forming technology using spring coil, stent-assistant technique, balloon remod-eling, dense-woven stent technique, Trispan etc. Although problems including recurrence, re-bleeding and recanalization still ex-ist, the clinical effect has been further improved under the application of these new techniques, which may provide innovative, safe and effective choices for patients.