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脑内脊椎动脉剖析的内血管治疗

Joonho Chung¹, Yong Cheol Lim², Yong Sam Shin³

¹Department of Neurosurgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Journal of neuroendovascular therapy

|July 28, 2023

概括

内脊椎动脉剖析 (VAD) 是常见的,内血管治疗 (EVT) 成为一个关键的选择. EVT为破裂和未破裂的VAD提供了有效的策略,改善了患者的治疗结果.

科学领域:

神经学神经学
血管外科血管外科
干预性神经放射学干预性神经放射学

背景情况:

内脊椎动脉剖析 (VAD) 是大脑中最常见的动脉剖析.
虽然一些VAD会自发消失,但有些则会导致中风,需要进行干预.
内血管治疗 (EVT) 越来越多地被认为是VAD的管理,因为它被认为是安全和有效的.

研究的目的:

在过去十年中,共享使用EVT治疗内VAD的临床经验和策略.
概述EVT在破裂和未破裂VAD管理中的指示和方法.
提供对现实世界的实践的见解,而不是文学评论.

主要方法:

在破裂的VAD和下大脑关节出血 (SAH) 时进行EVT.
用于特定未破裂的VADs的EVT:复发性/渐进性缺血,大剖析动脉瘤 (>7毫米),快速的形状/大小变化,基底动脉干扰或双边VADs.
治疗技术包括非主导性静脉的脊椎动脉 (VA) 阻塞和突破病例中主导性静脉的支架辅助卷曲.
使用各种支架的重建技术用于未被破坏的VAD.

主要成果:

在十年内,EVT策略应用于一系列VAD演示.
根据VAD类型 (破裂与未破裂) 和船只主导地位,量身定制了特定的技术.
该研究详细介绍了通过EVT进行VAD管理的实际方法.

结论:

内血管治疗 (EVT) 被认为是当前管理内脊椎动脉剖析 (VAD) 的支柱.
对VADs的治疗决策和技术需要由专家仔细考虑每种情况.
影响EVT选择的因素包括患者的症状,血液动力学状态,附带供应以及脊椎骨系统的特定解剖特征.

关键词:

剖析动脉瘤的方法解剖解剖解剖解剖血管内治疗血管内治疗脊椎动脉脊椎动脉脊椎动脉

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