剩余和复发的内动脉瘤的流量转移疗法用手术治疗
Erol Akgul1, Hasan Bilen Onan, Yusuf Can
1Istanbul Medipol University, International School of Medicine, Radiology Department, Interventional Neuroradiology Section, Istanbul, Turkey.
Turkish neurosurgery
|July 20, 2023
概括
流量转移支架 (FDS) 在手术后治疗复发性内动脉瘤时安全有效. 这项研究表明,在这个患者群体中,FDS的闭塞率高,安全性可接受.
科学领域:
- 神经外科 神经外科
- 血管内治疗疗法 血管内疗法
- 脑血管疾病 脑血管疾病
背景情况:
- 手术治疗的内动脉瘤可能会复发或持续,需要进一步的干预.
- 流量转移支架 (FDS) 为复杂的脑血管病变提供了最少的侵入性内血管选择.
研究的目的:
- 评估FDS在治疗之前用微手术治疗的残留或复发性内动脉瘤方面的安全性和有效性.
- 评估FDS治疗这些具有挑战性的动脉瘤后的并发症率和长期结果.
主要方法:
- 在最初的手术管理 (剪切或包裹) 后,用FDS治疗20名残留或复发性内动脉瘤的20名患者的回顾性分析.
- 评估患者的人口统计,动脉瘤特征,手术成功,并发症以及神经/血管学随访数据.
主要成果:
- 所有患者的内血管手术成功;15%的患者经历了周围手术或术后并发症.
- 总体病死率为5%,其中一个死因于脑干缺血.
- 血管造影随访显示,在3-6个月后63.6%的患者出现了完全动脉瘤封闭,在最终随访时为94.1%.
结论:
- 流量转移支架是一种安全有效的治疗方式,用于在先前手术后的残留和复发性内动脉瘤.
- FDS提供了一个非常有吸引力的选择,用于管理复杂的内动脉瘤,这些动脉瘤在开放性手术后失败或复发.
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