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低调可视化内支装置用于宽内动脉瘤的Y-Stent辅助卷曲:一个单一中心的经验

Sajjad Saghebdoust¹, Farid Qoorchi Moheb Seraj¹, Sajjad Najafi²

¹Neuroendovascular Section, Neurosurgical Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.

World neurosurgery

|April 27, 2024

概括

使用低距离可视化内支 (LVIS) 设备的Y-stent辅助卷曲 (Y-SAC) 是对内分支动脉瘤的安全有效的治疗方法,显示出有利的长期结果. 这种方法对管理复杂的脑血管疾病有希望.

科学领域:

神经外科神经外科
干预性神经放射学干预性神经放射学
血管神经学血管神经学

背景情况:

低距离可视化内支 (LVIS) 装置通常用于内动脉瘤.
在Y-stent辅助卷轴 (Y-SAC) 中LVIS的疗效和安全性仍在争论中.
本研究研究了使用LVIS设备的Y-SAC的长期结果.

研究的目的:

为了评估Y-stent辅助卷曲 (Y-SAC) 的长期血管学和临床结果,使用低档次可视化内支 (LVIS) 设备.
评估这种技术在内分支动脉瘤的可行性和安全性.

主要方法:

使用LVIS支架治疗Y-SAC的患者的回顾性审查.
在支架部署和卷轴之前和之后对血管角度几何学的分析.
动脉瘤闭塞的分类使用雷蒙德-罗伊闭塞分类 (RROC).
通过修改的兰金级别来评估临床结果.

主要成果:

完全/几乎完全的闭塞 (RROC 1和2) 在77.5%的立即和93.8%的长期中实现了.
使用LVIS的Y-SAC显著降低了二叉角 (P < 0.0001).
在最后的随访中观察到有利的临床结果 (90.0%),尽管12.5%的周围手术并发症包括10.5%的静脉栓塞.

结论:

使用LVIS装置的Y-stent辅助卷曲 (Y-SAC) 是对内分支动脉瘤的可行且安全的程序.
该技术产生了有利的长期血管学和临床结果.
预测不良结果的预测因素包括WFNS等级,下关节出血和诸如静脉栓塞之类的手术内并发症.

关键词:

卷轴的卷轴是指卷轴上的卷轴.内血管技术内血管技术内动脉瘤是一个内动脉瘤.在 LVIS 支付宝上,您可以获得 LVIS 支付宝.甲状腺下下垂体出血在Y-stenting.

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