针对破裂的PICA涉及类型脊椎动脉剖析动脉瘤的扩张后PICA段的目标栓塞
Koichiro Shindo1,2, Tatsuya Ogino1,2, Hideki Endo1,2,3
1Department of Neurosurgery, Nakamura Memorial Hospital, Sapporo, Hokkaido, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
目标栓塞是破裂的脊椎动脉剖析动脉瘤的有效治疗方法,涉及后下大脑小动脉. 这种方法保持了PICA的血液流动,并导致了良好的患者结果.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 破裂的脊椎动脉剖析动脉瘤 (RVADA) 构成一个重大风险.
- 目标栓塞的父动脉封闭 (PAO) 是RVADA的首选治疗方法.
- 涉及后下大脑小动脉 (PICA) 的RVADA需要特别考虑治疗.
研究的目的:
- 为了评估RVADA的目标栓塞的有效性,涉及PICA.
- 评估治疗结果,包括PICA的保存和神经功能.
- 为了确定这种内血管技术的安全性和有效性.
主要方法:
- 八名RVADA患者的回顾性分析,涉及2007年至2020年期间接受治疗的PICA.
- 目标栓塞集中在距离PICA起源的扩张段上.
- 评估放射性发现,PICA通透度,髓梗塞和神经结果 (mRS).
主要成果:
- 除了一个案例外,PICA在所有案例中都被保留了.
- 没有发生术后髓梗塞或再出血.
- 在所有患者中都取得了良好的神经结果 (mRS 0-2),尽管在四例需要进一步治疗的病例中进行了再通道化.
结论:
- 目标栓塞保护PICA是PICA涉及RVADA的有效治疗方法,当破裂部位距离PICA起源处时.
- 这种内血管方法提供了有利的安全性和有效性.
- 保持PICA流量是可以实现的,并有助于积极的患者结果.
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