对于急性破裂动脉瘤的支架辅助栓塞.
Masayuki Ezura1, Hiroyuki Sakata1, Tomohisa Ishida1
1Department of Neurosurgery, NHO Sendai Medical Center, Sendai, Miyagi, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
支架辅助栓塞是一种紧急治疗,用于大部破裂的大脑动脉瘤,当其他方法失败时. 对于80岁以上的患者来说,它不太适合.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 脑血管疾病 脑血管疾病
背景情况:
- 带有宽的动脉瘤对内血管治疗构成挑战.
- 急性破裂需要紧急干预.
研究的目的:
- 报告用于急性破裂宽动脉瘤的支架辅助栓塞的结果.
- 确定与不良临床结果相关的因素.
主要方法:
- 在2016年12月至2020年10月期间治疗的19名急性破裂宽动脉瘤患者的回顾性分析.
- 支架辅助线圈栓塞 (Neuroform EZ/Atlas) 在气球辅助栓塞失败或不可能时使用.
主要成果:
- 在2/19例中完全消灭;部残留在10例中,身体填充在7例中.
- 8名患者的临床结果良好 (mRS 0-2);11名患者的临床结果不佳 (mRS 4-6).
- 80岁以上的年龄是糟糕结果的唯一统计学上显著因素.
- 与手术相关的并发症发生在5名患者中 (静脉栓塞,MCA穿孔,静脉栓塞,线圈骨折).
结论:
- 支架辅助线圈栓塞是宽破裂脑动脉瘤的可行的紧急选择.
- 应考虑患者的年龄,特别是80岁以上的患者.
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