WovenEndoBridgeとステントを組み合わせたWovenEndoBridgeを用いて中脳動脈の分岐点における複雑な脳動脈瘤の栓塞 (2件の症例報告)
Shu-Juan Zuo1,2, Qing-Liang Chen1, Li-Shan Ding2
1Department of Radioactive Intervention, Henan No. 3 Provincial People's Hospital Zhengzhou 450007, Henan, China.
American journal of translational research
|February 12, 2026
まとめ
この研究は,複雑な脳動脈瘤に対するWovenEndoBridge (WEB) デバイスの栓塞を支援するためにアトラスステントを使用するテクニックを紹介しています. この方法は,親動脈を成功裏に保護し,動脈瘤の効果的な治療を保証しました.
科学分野:
- 神経外科は神経外科です.
- 介入神経放射線学
- 医療機器 医療機器について
背景:
- WovenEndoBridge (WEB) は,脳内流動障害を起こすことで脳動脈瘤を治療するための新興デバイスです.
- デバイスの配置に問題があり,特に親動脈が影響を受けた場合があります.
- 限られたレポートでは,不満足な放出位置または親動脈の妥協の管理を扱っています.
研究 の 目的:
- 複雑な脳動脈瘤におけるステントアシストドWEBエンボライゼーションの技術について説明する.
- WEB展開中に親動脈の干渉を管理するためにアトラスステントを使用する実行可能性と安全性を評価する.
- 中央脳動脈のバイフォーケーション動脈瘤の患者のアウトカムを報告する.
主な方法:
- 中央脳動脈の分岐点にある状動脈瘤を患った2人の患者の遡及的症例報告.
- WovenEndoBridge (WEB) 装置を動脈動脈栓塞のために使用しました.
- アトラスステントを付加的に使用し,親動脈を保護し,最初の展開が干渉を引き起こしたときにWEBの配置を容易にしました.
- 詳細な手術前評価,手術計画,手術後の管理.
主要な成果:
- 両方の患者で成功して動脈動脈栓塞が達成されました.
- アトラスステントの使用は,親動脈の妥協と中脳動脈 (MCA) 枝の栓塞を防ぐことができました.
- 術後アンジオグラフィーで,親動脈の障害がないことが確認されました.
- 両方の患者は,ステントアシスタドWEB栓塞の手続きの恩恵を受けました.
結論:
- ステント支援のWEB栓塞は,中脳動脈の分岐点にある複雑な動脈瘤を治療するための実現可能で効果的な技術です.
- このアプローチは,WEB デバイスの展開中に親動脈の干渉を管理するための解決策を提供します.
- 記述された方法は,困難な動脈瘤の症例における安全性と有効性を高めます.
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