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用 TACTICS 导管进行辅助技术的有用性,用于脑动脉瘤的线圈栓塞
Masaki Takahara1, Kenji Fukuda1, Dai Kawano1
1Department of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
远距离通道 (DAC) 的TACTICS导管增强了线圈栓塞程序. 它改善了远部内血管的进入,并促进了微导管操纵复杂的动脉瘤治疗.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 血管神经学 血管神经学
背景情况:
- 线圈栓塞是内动脉瘤的关键治疗方法.
- 远程接入导管 (DAC) 帮助导航复杂的神经血管系统.
- 优化DAC对于提高程序成功和安全至关重要.
研究的目的:
- 评估3.4-Fr TACTICS导管在线圈栓塞手术中作为辅助远距离接入导管 (DAC) 的实用性.
- 在使用TACTICS导管时,评估易于访问和对程序步骤的影响.
主要方法:
- 用TACTICS导管进行线圈栓塞的患者的回顾性分析 (2018年10月 - 2019年5月).
- 在64例治疗动脉瘤中的18例中,TACTICS导管被用作辅助装置.
- 栓塞技术包括双导管技术 (DCT),支架辅助卷圈 (SAT) 和气球辅助技术 (BAT).
主要成果:
- 通过TACTICS导管,人们可以更轻松地进入远部内血管.
- 在所有案例中都观察到微导管,线圈和支架放置的改进.
- 在这些程序中,使用TACTICS导管没有任何并发症.
结论:
- 与传统的DAC相比,TACTICS导管可以更好地进入远部内血管.
- 它的实用性在复杂的技术中尤其显著,如DCT和SAT,这些技术需要高的微导管可操作性.
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