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Simulator Training for Endovascular Neurosurgery
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对于未破裂的内动脉瘤的线圈栓塞的初始经验与神经形图谱和低尺寸的柔性线圈相结合
Koji Omoto1, Katsutoshi Takayama2, Ai Okamoto1
1Departments of Neurosurgery, Ishinkai Yao General Hospital, Yao, Osaka, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
使用Neuroform Atlas支架和柔性线圈的支架辅助线圈有效地治疗未破裂的内动脉瘤,而无需在手术内破裂或中风. 这种技术在一个小患者系列中表现出了有利的早期临床和血管学结果.
科学领域:
- 神经外科 神经外科
- 干预性神经放射学 干预性神经放射学
- 血管神经学 血管神经学
背景情况:
- 术内破裂 (IPR) 是在未破裂的内动脉瘤 (UIA) 的内血管治疗 (EVT) 期间的一种罕见但严重的并发症.
- 线圈的灵活性已被确定为IPR的一个风险因素.
- 神经形阿特拉斯 (NA) 支架有很高的可能性促进支架辅助卷轴 (SAC),允许使用小尺寸的柔性卷轴.
研究的目的:
- 评估SAC的安全性和有效性,使用NA支柱和UIA的高度灵活的线圈.
- 为了确定这种技术是否可以在不引起程序内断裂 (IPR) 的情况下进行.
主要方法:
- 对使用NA支架和柔性线圈的UIA进行SAC的9名患者的回顾性分析.
- 评估技术成功,动脉瘤闭塞率 (即时和3个月),IPR,症状性中风和晚期不良事件.
- 使用了使用最灵活可用的线圈的监禁技术.
主要成果:
- 100%的技术成功率,在30天内没有程序内破裂 (IPR) 或症状性中风.
- 在89%的患者中实现了即时完全封闭 (CO),在11.8个月的随访中持续存在.
- 在随访期间没有报告晚期不良事件.
结论:
- 使用Neuroform Atlas (NA) 支架和尺寸不足的柔性线圈进行支架辅助卷曲 (SAC) 是治疗未破裂的内动脉瘤 (UIA) 的安全有效方法.
- 这种技术显示出有利的早期临床和血管学结果,并没有像IPR和中风等并发症的风险.
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