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叠加式支架治疗后部循环中的破裂解剖动脉瘤

Minghui Zhou¹, Zengbao Wu¹, Ali Abdi Maalim¹

¹Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

|November 25, 2023

概括

叠加式支架为破裂后循环剖析动脉瘤 (PCDA) 提供了可行和有效的治疗方法,证明了患者的积极结果和低复发率.

科学领域:

神经外科神经外科
血管神经学血管神经学
干预性神经辐射学

背景情况:

在后部内循环中破裂剖析动脉瘤的治疗具有挑战性.
这些动脉瘤与患者预后不佳有关.

研究的目的:

评估重叠支架作为破裂后循环剖析动脉瘤 (PCDA) 的首要治疗方法的疗效.
在治疗PCDA时,比较重叠支架和单支架 (企业或LVIS) 之间的结果.

主要方法:

对27名用重叠支架治疗的PCDA患者的回顾性分析.
使用重叠的企业 (EP) 和LVIS支架治疗的11名患者与接受单个EP或LVIS支架的对照进行了1:1匹配.
随访包括临床评估 (修改的兰金尺度) 和至少6个月的血管造影.

主要成果:

在所有27例病例中,重叠支架是可行的,26例患者的随访成功.
在59.3% (I级),25.9% (II级) 和14.8% (III级) 的患者中,实现了即时血管图像闭塞.
在16.2个月的随访中,96.2%的患者有良好的结果 (mRS 0-2). 与单个EP (45.45%) 或LVIS (27.27%) 组相比,重叠支架组 (9.09%) 的复发率较低,尽管在统计学上并不显著.

结论:

叠加式支架治疗是破裂PCDA的可行和有效方法.
这种技术与高成功封闭率和有利的长期结果有关.
与单个支架配置相比,重叠支架可能会降低复发率.

关键词:

血管内治疗血管内治疗叠加的支架可以重叠.后部循环后部循环破裂的剖析动脉瘤破裂.

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