动脉瘤的内血管治疗涉及一个主要的分支
Kimihiko Orito1, Masaru Hirohata1, Toshi Abe2
1Department of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Journal of neuroendovascular therapy
|April 1, 2024
概括
流量转移器在治疗脑动脉瘤方面提供了进步,但有风险导致分支动脉堵塞. 对于具有关键分支血管的动脉瘤,可优先选择线圈栓塞,以确保更好的结果.
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:
- 内脑动脉瘤的内血管治疗已经取得了重大进展.
- 流量转移器 (FD) 的使用越来越多,但长期分支动脉封闭率报告为15.8%.
研究的目的:
- 审查对内脑动脉瘤的内血管治疗的不断变化的格局.
- 突出挑战和对动脉瘤与关键分支血管的替代策略.
主要方法:
- 审查目前用于脑动脉瘤治疗的内血管技术.
- 分析与流量转向器相关的结果,与线圈栓塞等替代方法相比.
- 讨论辅助技术和治疗计划方面的考虑.
主要成果:
- 流量转移器看起来很有希望,但与明显的分支动脉封闭率有关.
- 完整的动脉瘤消灭在FD中具有挑战性,当从动脉瘤部或圆顶上出现正常的分支时.
- 线圈栓塞通常是保存特定动脉瘤位置的分支血管的首选方法.
结论:
- 内脑动脉瘤的治疗选择需要仔细考虑FD的局限性,特别是关于分支血管的保存.
- 线圈栓塞仍然是复杂解剖涉及关键分支动脉的动脉瘤的重要选择.
- 个性化治疗规划,了解每个模式的优缺点,对于最佳的患者结果至关重要.
更多相关视频
07:21Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
Published on: September 8, 2023
721
11:58Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
15.5K
相关概念视频
Anastomoses
769
In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They...
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They...
769
The Arch of Aorta
654
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
654
Arteries of the Head and Neck
1.2K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
1.2K
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
410
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
410
