拉伸线圈的策略:从单个中心体验的洞察力
Jun Ho Shim1, Jong-Hyun Park1, Gi Yong Yun1
1Department of Neurosurgery, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.
概括
在栓塞过程中伸展的线圈可以引起血栓. 血管电脑断层扫描 (Vaso-CT) 有助于准确评估和选择适当的救援技术,以防止延伸线圈,防止诸如缺血性中风等并发症.
科学领域:
- 干预性神经放射学 干预性神经放射学
- 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:
- 在栓塞过程中延伸的线圈会导致血栓形成.
- 精确的评估和有效的治疗策略对于伸展线圈至关重要.
研究的目的:
- 报告16年的拉伸线圈经验.
- 讨论拉伸线圈的有效评估方法和治疗策略.
- 强调血管计算机断层扫描 (Vaso-CT) 在处理伸展线圈中的实用性.
主要方法:
- 从2007年1月起,对14起拉伸线圈病例进行了回顾性分析.
- 从2017年开始,利用血管计算断层扫描 (Vaso-CT) 进行近距离末端评估.
- 记录了各种救援技术,包括重新植入,移除,微软和支架固定.
主要成果:
- 分析了14例拉伸线圈的病例,涉及破裂和未破裂动脉瘤.
- 血管CT在9个病例中被使用,有助于评估和指导治疗.
- 成功的干预包括重新植入 (3例),线圈移除 (3例),微丝网技术 (1例) 和支架固定 (5例).
- 血栓形成发生在三个病例中.
结论:
- 仅靠血管造影就不足以诊断延伸线圈;血管CT对于准确的近端识别至关重要.
- 选择适当的救援技术对于避免缺血性中风至关重要.
- 这项研究强调了血管CT在优化拉伸线圈管理中的作用.
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