用管道栓塞装置进行再治疗,用于经由支架辅助的线圈栓塞之后的再通道动脉瘤
Yuhui Ling1, Jie Liu1, Liyun Zhou1
1Department of Neurointervention, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Frontiers in neurology
|November 29, 2023
概括
流量转移器,如管道栓塞装置 (PED),在支架辅助卷轴后显示出对重新道化动脉瘤的重新治疗的希望. 这项研究突出了PED.
科学领域:
- 干预性神经辐射学
- 脑血管外科 脑血管外科
- 医疗器械技术 医疗器械技术
背景情况:
- 在支架辅助卷轴后,动脉瘤的再通道化提出了重新治疗的挑战.
- 流量转移器为管理这些复杂的案例提供了一个潜在的替代方案.
研究的目的:
- 评估使用管道栓塞装置 (PED) 治疗再通道动脉瘤的经验和疗效.
- 描述PED和以前部署的支架之间的解剖关系.
主要方法:
- 在2019年7月至2023年4月期间接受治疗的5名患者的回顾性单中心病例系列.
- 分析临床数据,动脉瘤特征,先前的支架类型和PED安置结果.
- 详细描述抗血小板治疗方案 (双疗法,蒂罗菲班).
主要成果:
- 包括五名患有内动脉动脉瘤的女性患者 (两个类似血泡的血液,两个巨型).
- 之前的支架包括LVIS,企业和Solitaire.
- 结果包括一个致命的甲状腺下部出血,两个完整的栓塞,和一个几乎完整的栓塞. 一个PED放置失败了.
- 确定了四种类型的PED和先前的支架之间的重叠关系.
结论:
- 管道栓塞装置 (PED) 证明了在经过支架辅助卷轴后重新道化动脉瘤的再处理方面具有潜在的有效性.
- 了解设备重叠对于程序规划和成功至关重要.
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