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大脑动脉瘤线圈栓塞用线圈辅助技术使用直径小的螺旋式线圈
Naotsugu Toki1, Hiroyuki Matsumoto1, Hirokazu Nishiyama1
1Department of Neurological Surgery, Kishiwada Tokushukai Hospital, Kishiwada, Osaka, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
一种新的线圈辅助技术在脑动脉瘤栓塞过程中成功地保护了分支动脉. 这种方法对于复杂的动脉瘤而言是安全而有效的,而传统技术失败了.
科学领域:
- 神经外科 神经外科
- 干预性神经辐射学
- 血管神经学 血管神经学
背景情况:
- 大脑动脉瘤带来重大风险,包括破裂和出血.
- 线圈栓塞是一种常见的治疗方法,但保护相邻的分支动脉可能具有挑战性.
- 内分支结合的动脉瘤需要专门的技术来安全有效地治疗.
研究的目的:
- 介绍和评估一种新的卷轴辅助技术,用于在脑动脉瘤栓塞过程中保存分支动脉.
- 评估该技术在治疗复杂动脉瘤时的可行性和安全性.
主要方法:
- 开发了一种使用小直径螺旋式线圈的线圈辅助技术.
- 这个线圈支着一个框架线圈,以保护动脉瘤部或圆顶的分支动脉.
- 治疗了三例脑动脉瘤 (两个破裂,一个未破裂) 与内置的分支动脉.
主要成果:
- 在所有三个治疗病例中,卷轴辅助技术成功地保存了分支动脉.
- 这项技术应用于内动脉 - 后沟通动脉和前沟通动脉动脉瘤.
- 从动脉瘤部或圆顶开始的分支动脉被成功保存.
结论:
- 卷轴辅助技术是一种可行且安全的方法,用于卷轴栓塞内分支结合动脉瘤.
- 这种技术为保存常规方法难以管理的分支动脉提供了有价值的解决方案.
- 它扩大了复杂的大脑动脉瘤需要线圈栓塞的治疗选择.
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