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用开放细胞支架进行线圈栓塞期间的支架迁移:三例病例报告

Ryosuke Tomio¹, Tsuyoshi Uesugi², Kazunori Akaji¹

¹Department of Neurosurgery and Brain Bank, Mihara Memorial Hospital, Isesaki, Gunma, Japan.

Journal of neuroendovascular therapy

|July 28, 2023

概括

在使用Neuroform Atlas支架的36例脑动脉瘤线圈栓塞中,有3例发生了支架迁移. 虽然没有并发症,但需要谨慎的技术来防止部署和导航期间的迁移.

科学领域:

神经外科神经外科
干预性神经辐射学
医疗器械医疗器械

背景情况:

大脑动脉瘤带来了重大风险.
支架辅助线圈栓塞是一种常见的治疗方法.
这种手术使用Neuroform Atlas支架.

研究的目的:

评估支架迁移的发生率和原因.
用Neuroform Atlas评估支架辅助线圈栓塞的结果.
为了确定与Neuroform Atlas支架相关的潜在并发症.

主要方法:

对36例脑动脉瘤病例的回顾性审查.
对支架部署,迁移事件和线圈栓塞的分析.
术后并发症和体积栓塞率 (VER) 的评估.

主要成果:

三个病例 (8.3%) 在手术期间经历了支架迁移.
迁移发生在支架部署和微导管导航期间.
没有观察到术后并发症.
在受影响的病例中,体积栓塞率 (VER) 达到24.1%-33%.

结论:

神经形阿特拉斯支架通常是安全和方便的.
在部署和导航期间的迁移期间的支架进步是潜在的风险.
谨慎的技术对于缓解迁移事件至关重要.

关键词:

神经形式的地图集支架是一种支架.麻烦麻烦麻烦麻烦

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