多重内动脉瘤的内血管治疗
Ji-Wei Wang1, Cong-Hui Li, Jian-Feng Liu
1Department of Neurosurgery, The First Hospital, Hebei Medical University, Shijiazhuang, Hebei Province, China.
Medicine
|November 28, 2023
概括
血管内栓塞,包括支架和线圈,是多重内动脉瘤的安全有效治疗方法. 这种技术在管理复杂动脉瘤病例方面显示出有希望的结果.
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:
- 多重内动脉瘤带来了重大治疗挑战.
- 与开放式手术相比,内血管技术提供了一种不那么侵入性的方法.
研究的目的:
- 评估内血管栓塞治疗多重内动脉瘤的疗效和安全性.
- 评估患者队列内血管内治疗的长期结果.
主要方法:
- 对54名116例多重内动脉瘤患者进行了回顾性分析,这些患者接受了内血管栓塞治疗.
- 采用诸如单独卷轴,支架辅助卷轴,单独支架,以及卷轴的流量转移器等技术.
- 随访血管造影在栓塞后立即进行,并以较长的间隔 (6-90个月) 进行.
主要成果:
- 在59.5%的动脉瘤中,在栓塞后立即实现了完整的闭塞.
- 整体并发症率为11.1%,包括血栓形成,线圈突出和手术内破裂.
- 长期随访显示,在76%的最初完全封闭的动脉瘤中,持续完全封闭,在8%的病例中复发.
结论:
- 内血管栓塞,特别是内支架和卷轴,是一种安全有效的治疗方式.
- 该技术显示出持久的结果,并准备在管理多重内动脉瘤方面变得越来越重要.
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