脑动脉瘤的血管内弹簧圈栓塞术的长期效果尚无明确评价,并且在预防再破裂上的效果仍不肯定,尽管有弹簧圈栓塞动脉瘤后发生动脉瘤再破裂的报告,但其组织病理学发现很少有人报告,本文作者报告用血管内游离弹簧圈栓塞动脉瘤8个月后再通并再破裂一例。患者女性,77岁,因SAH收住院。血管造影显示右侧颈内动脉大动脉瘤,SAH后第三天,用ID-Cs(interlocking detachable coils)成功地进行了栓塞术。术后4个月血管造影显示动脉瘤再通但未扩张,8个月后又因再次SAH重新住院,造影显示再通的动脉瘤有一小囊且有外渗,患者经治疗无效死亡,尸解。组织病理学检查显示此动脉瘤来自于右颈内动脉末端与右后交通动脉之间,囊壁粘附着脑内血肿,弹簧圈被包裹在瘤顶并穿通瘤壁,大部分弹簧圈包埋在血肿里,这些突出的弹簧圈被一透明膜覆盖。动脉瘤的显 The long-term effect of intra-arterial coil embolization of cerebral aneurysms has not been clearly evaluated and the effect on preventing recanalisis remains uncertain, although there is a report of aneurysm rupture after coil embolization of aneurysms, Neo-Confucianism found few reports, and the authors report that an aneurysm was embolized with an intravascular free coil eight months later and then ruptured again. Female patient, 77 years old, admitted to hospital for SAH. Angiography showed the right internal carotid artery aneurysm. On the third day after SAH, embolization was successfully performed with interlocking detachable coils (ID-Cs). Four months after angiography aneurysm recanalization but did not dilate, 8 months later due to re-SAH re-hospital, angiography showed recanalization aneurysm has a small capsule and extravasation, the patient died of treatment ineffective, autopsy . Histopathological examination showed that the aneurysm came from between the right internal carotid artery and the right posterior communicating artery. The intracranial hematoma adhered to the wall. The coil was wrapped around the tumor and penetrated the tumor wall. Most of the coil was embedded In the hematoma, these prominent coils are covered by a transparent membrane. Aneurysms were significant