对于内动脉瘤流量转移的新型内漏分类:一个追溯的案例系列
Ahmed Kashkoush1, Nina Z Moore1,2, Mohamed E El-Abtah3
1Department of Neurological Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
概括
内动脉瘤的流量转移 (FD) 可能由于持续的填充或内脏泄漏而失败. 这项研究提出了对这些内脏泄漏的新分类,以改善理解和未来的治疗策略.
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.
- 医疗器械技术 医疗器械技术
背景情况:
- 流量转移 (FD) 是对内动脉瘤的安全有效治疗方法.
- 用FD治疗的动脉瘤的一个子集在血管学上表现出持续的填充,称为内泄漏.
- FD衰竭的危险因素包括晚年,大动脉瘤大小和邻近血管的突起.
研究的目的:
- 在内动脉瘤的流量转移 (FD) 后,描述各种类型的内泄漏.
- 建议对FD后持续性动脉瘤填充的血液动力学模式进行分类方案.
主要方法:
- 对前性维护的内血管手术数据库 (2017-2021) 的回顾性审查.
- 纳入标准:在FD后具有独特模式的内动脉瘤填充的患者.
- 收集的数据:治疗细节,后续血管造影和临床过程.
主要成果:
- 分析了5名患者 (平均年龄为50岁,4名女性),平均随访时间为19个月.
- 提出了五种主要的内膜漏洞类型:第1类 (移植孔隙),第2类 (过度支架),第3类 (支架迁移),第4类 (错位) 和第5类 (附带).
- 除了4型外,观察到所有拟议的内孔漏洞类型.
结论:
- 建议在内动脉瘤FD后的血液动力学失败模式中使用一种新的内漏分类方案.
- 需要进一步的研究来评估动脉瘤填充后FD的自然史和基于内泄类型的再治疗成功.
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