在基底四动脉瘤的流量转移
Visish M Srinivasan1, Jubran H Jubran1, Henry O Stonnington1
1Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona, USA.
Journal of neurointerventional surgery
|May 30, 2023
概括
流量转移装置 (FDD) 在治疗复杂的基底四动脉瘤方面表现有前途. 这项研究发现FDD是安全有效的,在34名患者中实现了高闭塞率与可管理的并发症.
科学领域:
- 内血管神经外科手术 血管内血管神经外科
- 脑血管疾病是脑血管疾病.
- 医疗器械 医疗器械 医疗器械
背景情况:
- 流量转移装置 (FDD) 越来越多地用于复杂的后部循环动脉瘤.
- 对于基础四动脉瘤的FDD存在有限的研究.
- 这项研究解决了在这个特定的解剖区域了解FDD疗效方面的差距.
研究的目的:
- 评估流量转移装置 (FDD) 在治疗基础四动脉瘤中的安全性和有效性.
- 评估FDD治疗后的技术成功,并发症率和长期闭塞.
- 确定FDD对先前治疗的残留或复发性疾病动脉瘤的潜在益处.
主要方法:
- 对34名患者的回顾性审查,这些患者接受了FDD治疗,用于基底四驱动动脉瘤.
- 评估包括动脉瘤特征,先前的治疗,技术成功,并发症和闭塞率.
- 随访通过血管造影进行,以确定长期动脉瘤封闭.
主要成果:
- 34个动脉瘤 (基底顶部,上大脑小动脉,后脑动脉) 被治疗.
- 88% (30/34) 在平均6.6个月的随访中实现了完全或近乎完全的闭塞.
- 82%的人没有出现并发症;有1人死于脑下关节下出血.
结论:
- 流量转移似乎是基础四动脉瘤的安全有效治疗方法.
- 在复发或残留的基底四动脉瘤中,FDDs可能会带来显著的益处.
- 需要进一步的前性研究来证实这些发现.
关键词:
动脉瘤是一个动脉瘤.相关概念视频
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