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气球辅助支架可视化:用于精确测量先前放置的支架直径的简单技术
Manato Sakamoto1, Shigeomi Yokoya1, Hidesato Takezawa2
1Department of Neurosurgery, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Ritto, Shiga, Japan.
Asian journal of neurosurgery
|May 16, 2024
概括
气球辅助支架可视化 (BASV) 有助于对内动脉瘤进行再治疗计划. 这种技术精确地评估了先前放置的支架,改善了复杂病例的结果.
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:
- 支架辅助线圈栓塞 (SAC) 是内动脉瘤的关键治疗方法,但由于成像工件,重新治疗可能会复杂化.
- 评估先前部署的支架尺寸是困难的,阻碍了准确的线圈包装和再处理计划.
研究的目的:
- 引入和评估气球辅助支架可视化 (BASV) 作为在重新治疗内动脉瘤期间精确支架评估的方法.
主要方法:
- 一个病例报告详细介绍了使用气球来评估Neuroform Atlas支架在患有复发性基底动脉-左上大脑小动脉动脉瘤的患者身上.
- 随后的重新处理涉及额外的线圈插入和新支架的放置,由BASV指导.
主要成果:
- 由于BASV能够准确评估先前安装的支架,因此可以更准确地安装额外的线圈和新支架.
- 患者在手术后没有出现新的神经缺陷,随访MRI证实没有缺血病变.
结论:
- 气球辅助支架可视化 (BASV) 是一个潜在的有价值的技术,用于重新处理支架辅助线圈栓塞 (SAC) 程序.
- 巴斯维为治疗规划提供了关键信息,改善了复发性内动脉瘤的管理.
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