在急性阶段破裂动脉瘤的支架辅助线圈栓塞:优点和缺点
Takato Nakajo1,2, Tomoaki Terada3, Tomoyuki Tsumoto4
1Department of Neurosurgery, Kashiwa Tanaka Hospital, Kashiwa, Chiba, Japan.
Journal of neuroendovascular therapy
|October 23, 2023
概括
在急性脑动脉瘤破裂时,用支架进行线圈栓塞具有挑战性,但当其他治疗方法难以实现时,它是有效的. 需要仔细确定,以减少复杂症,如再出血和血栓栓塞.
科学领域:
- 神经外科 神经外科
- 干预性神经辐射学
- 血管神经学 血管神经学
背景情况:
- 由于设备的可用性有限,急性阶段破裂脑动脉瘤的治疗存在挑战.
- 内血管技术越来越多地被用于管理下关节出血.
研究的目的:
- 为了评估线圈栓塞结合用于急性阶段破裂脑动脉瘤的支架的结果.
- 在难以治疗的病例中评估这种综合方法的安全性和有效性.
主要方法:
- 在急性阶段 (2014年4月至2021年12月) 为破裂脑动脉瘤进行支架的22名患者的回顾性分析.
- 当气球辅助或双导管技术具有挑战性时,就采用了支架.
- 在手术过程中,患者接受了双重抗血小板治疗.
主要成果:
- 这项研究包括22名患者 (平均年龄为68.9岁),患有严重的甲状腺下部出血 (63.6%的WFNS等级IV-V).
- 常见的动脉瘤位置包括内动脉 (9例) 和脊柱动脉 (6例).
- 术后并发症发生在45.5%的病例中,包括血栓栓塞和再出血. 发病率和死亡率为18.2%.
结论:
- 对于急性破裂脑动脉瘤的支架安置需要仔细考虑,旨在减轻栓塞和出血并发症.
- 这种技术可以是一个有效的选择,当替代性内血管治疗非常困难时.
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