额外的栓塞用于在脑动脉瘤的支架辅助栓塞后,在动脉瘤内恢复血液流动后的额外栓塞
Sosho Kajiwara1, Masaru Hirohata1, Yasuharu Takeuchi1
1Department of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
用支架辅助动脉瘤栓塞 (SAAE) 重新治疗对于复发性动脉瘤是有效的. 仔细的技术选择可以获得良好的结果,并减少复杂病例的复发率.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 支架辅助动脉瘤栓塞 (SAAE) 是一种常见的动脉瘤治疗方法.
- 再通道化可能需要重新处理,但SAAE重新处理的数据有限.
研究的目的:
- 评估以前用SAAE治疗的大型或宽动脉瘤的重新治疗的疗效和并发症.
主要方法:
- 对12名在2010年7月至2018年6月期间接受SAAE再治疗的患者进行了回顾性审查.
- 对初始治疗,再处理技术 (简单,跨细胞) 和结果的分析.
主要成果:
- 在58%的退缩动脉瘤中实现了完全栓塞;在42%的病例中观察到残留物.
- 9名患者 (75%) 在重新治疗期间不需要额外的支架.
- 没有报告任何并发症,并且在10名患者的随访期间没有观察到复发.
结论:
- 使用SAAE重新治疗是复发性动脉瘤的可行选择.
- 适当的技术选择对于成功的再治疗和减少复发至关重要.
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