Abstract：Objective:To summarize and analyze the experience of various techniques and methods about the interventional therapy of intracranial wide-necked aneurysms. Methods:39 patients with intracranial wide-necked aneurysms confirmed by head CTA and / or cerebral angiography. Among them,9 cases were unruptured aneurysms, and 30 cases were ruptured aneurysms, 8 cases of grade I, 17 cases of grade II, 4 cases of grade Ⅲ, 1 case of grade IV according to Hunt-Hess classification. According to the specific location of the aneurysm, the size, shape and the relationship with the parent artery, techniques were chosen, including the 3D coil basket weaving techniques, endovascular stent assisted coil embolization, aneurysm neck remodeling fractal technology, dual-catheter technique appropriate choice of spring till the coil gradually filling satisfaction.Results:Complete embolization in 31 cases (79.4%), 8 cases of embolism (20.6%), no case bleeding intraoperative,cpc surgery coil placed 164, 15 brackets, 1 death occurred after 7 days due to renal failure and serious lung infection. 3 months after discharge GOS score: good recovery (GOS 5/4) 34 cases, mild disability (GOS 3) 2 cases of severe disability (GOS 2) 2 cases. 21 patients were followed up for 6 to 36 months, at 6th month or 16th month or 36th month total cerebral angiography, no aneurysm recurrence.Conclusions:The majority of intracranial wide-necked aneurysms through the selection of appropriate intravascular assistant technologies and methods can be successful embolization.
2013, Vol. 18 
