Abstract:

With the development of new technology and new materials, endovascular therapy has become the main treatment of intracranial aneurysms. The 70-year development of intracranial aneurysms endovascular therapy mainly includes 3 stages: firstly, the electric coagulation induced thrombosis of intracranial aneurysms in the period of 1940-1960; secondly, balloon embolization of intracranial aneurysms during 1970-1990; thirdly, coil embolization of intracranial aneurysms during the period from 1990 to the present. In recent years, the widespread use of flow diverter devices and intrasaccular flow disruptor have opened up a new direction for the treatment of intracranial aneurysms.

Key words:

摘要：

随着新技术和新材料的发展，血管内介入治疗业已成为颅内动脉瘤的主要治疗方法。颅内动脉瘤介入治疗的发展历经70余年，主要包括3 个阶段：第1阶段，1940-1960年的电凝致颅内动脉瘤内血栓形成时期；第2 阶段，1970-1990 年的球囊栓塞颅内动脉瘤时期；第3 阶段，1990 年至今的弹簧圈栓塞颅内动脉瘤时期。近年来，血流导向装置和动脉瘤腔内血流阻断装置的广泛应用也为颅内动脉瘤的治疗开拓新的方向。

关键词: 颅内动脉瘤, 栓塞, 治疗性, 球囊和椭圆囊, 支架, 医学史, 综述