脑静脉鼻狭窄的内血管支架是脑膜瘤侵袭的次要原因
Gasim Ahmed1, Mahmoud Abou-Foul2, William Sage3
1Department of Imaging, Queens Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK. Gasim.ahmed@nuh.nhs.uk.
Neuroradiology
|March 1, 2024
概括
内血管治疗有效地治疗由持续静脉膜脑膜瘤侵袭引起的症状性内高血压,提供安全和成功的中期缓解. 当手术具有风险或不完整时,这种治疗是一种可行的选择.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 血管神经学 血管神经学
背景情况:
- 症状性内高血压 (IH) 影响高达3%的内脑膜瘤患者由于持续静脉鼻 (DVS) 侵袭.
- 有限的文献存在于内血管治疗二次IH的DVS瘤入侵.
研究的目的:
- 报告一个单一中心的经验,用于内血管治疗DVS脑膜瘤侵袭引起的IH.
- 在这些患者中评估DVS静脉修复和支架的安全性和有效性.
主要方法:
- 对耐火性IH和DVS脑膜瘤侵袭患者的回顾性审查.
- 在6名女性患者中进行了7次内血管手术 (DVS静脉修复和支架).
- 在四名患者中,二次侧向横侧鼻狭窄症的支架.
主要成果:
- 在6个月的随访期间,所有患者的症状完全消失.
- 一名患者因实体瘤重新入侵而出现症状复发,成功重新治疗.
- 平均随访时间为3.5年,大多数患者的持续缓解.
- 没有与手术相关的并发症.
结论:
- 内血管治疗是从脑膜瘤入侵引起的DVS狭窄的安全和成功的选择.
- 有前途的中期结果支持在手术切除是困难或高风险时考虑它.
- 另外还建议对横侧鼻子的二次狭窄症进行治疗.
相关概念视频
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...


