对于基底和thalamic动脉静脉形形的内血管栓塞
Jing Lan1, Yi-Hui Ma1, Yu Feng1
1Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Frontiers in neurology
|November 29, 2023
概括
血管内栓塞是一种安全有效的治疗基底突破和thalamic动脉静脉形形 (AVMs),实现高消灭率和良好的结果与可接受的并发症.
科学领域:
- 神经学 神经学
- 干预性神经放射学 干预性神经放射学
- 血管神经外科 血管神经外科
背景情况:
- 基底和乳头动脉静脉形形 (AVM) 存在独特的治疗挑战,因为它们位于重要的大脑结构和微妙的血管架构中.
- 有效的管理需要仔细的治疗计划,个性化的策略和先进的技术.
研究的目的:
- 为了评估内血管栓塞的有效性和安全性,破裂的基底和thalamic AVMs.
- 总结治疗经验,临床结果和栓塞程序的指示.
主要方法:
- 对12名基底突破和与内血管栓塞治疗的thalamic AVMs患者的回顾性分析.
- 方法包括穿动脉,穿静脉或组合方法,采用单一或分阶段程序.
- 评估了斯佩茨勒-马丁分级和临床结果.
主要成果:
- 12名患者 (67%为女性,平均年龄为23.83岁) 患有破裂的AVM (III-V级) 被治疗.
- 在58.3%的患者中实现了完整的AVM消灭;在33.3%的患者中实现了部分消灭.
- 在58.3%的患者中,观察到良好的或优秀的结果,并可接受的并发症率 (16.7%).
结论:
- 内血管治疗是一种安全有效的治疗方法,用于深层的基底性和thalamic AVMs.
- 多模式,个性化治疗对于实现放射治疗和良好的结果至关重要.
- 通过动脉或静脉输血栓塞证明了具有可接受并发症的高消灭率.
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