使用目标3D线圈成功缩小了复发性部分血栓形成症状的大基底尖动脉瘤
Noriaki Ashida1, Atsushi Fujita2, Hideya Hayashi1
1Department of Neurosurgery, Kobe City Nishi-Kobe Medical Center, Kobe, Japan.
Surgical neurology international
|April 17, 2024
概括
目标3D线圈栓塞成功治疗了带有部分血栓的复发性基底尖动脉瘤. 这种技术防止了线圈迁移,导致持续的缓解,并且在长期随访期间不会复发.
科学领域:
- 神经外科 神经外科
- 干预性神经辐射学
- 血管神经学 血管神经学
背景情况:
- 部分血栓化内动脉瘤 (PTIA) 给独立的线圈栓塞带来了挑战,原因是线圈迁移导致的复发风险.
- 这一案例突出了管理复杂PTIA的另一种方法.
研究的目的:
- 报告一次复发性,部分血栓化基底动脉尖端动脉瘤的内血管治疗成功的病例.
- 要突出目标3D线圈在实现长期动脉瘤缓解方面的有效性.
主要方法:
- 一名63岁的男性患有眼运动神经麻,因复发性基底尖动脉瘤而经历了栓塞.
- 进行了目标3D线圈栓塞,重点是动脉瘤囊内的框架结构.
主要成果:
- 在手术后观察到完全消失的动脉瘤和眼运动神经麻的改善.
- 五年后续检查证实了血栓完全消失,动脉瘤没有复发.
- 在没有任何复发迹象的情况下实现了持续缓解.
结论:
- 目标3D线圈的特性,包括其闭环,可能会防止向血栓迁移.
- 这种技术可能会导致凝聚性线圈质量,促进动脉瘤愈合和PTIA治疗的长期成功.
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