用双重神经形状® 支架治疗双叉动脉瘤的支架辅助卷曲技术:一个大型回顾系列
Isabel Rodriguez Caamaño1, Sebastián Remollo1, Mikel Terceño2
1Neurointerventional radiology Hospital Germans Trias I Pujol, Carretera de Canyet, s/n, 08916, Badalona, Spain.
Clinical neuroradiology
|July 18, 2024
概括
Y配置的双Neuroform支架辅助卷轴是一种安全有效的治疗宽两叉动脉瘤,实现高阻塞率和保护母动脉. 这种内血管策略表现出极好的长期效果,并发症最小.
科学领域:
- 神经外科 神经外科
- 血管内治疗疗法 血管内疗法
- 脑血管疾病 脑血管疾病
背景情况:
- 宽两叉动脉瘤带来了治疗方面的挑战.
- 对于这些复杂的动脉瘤来说,支架辅助卷轴比简单卷轴具有优势.
- Y配置双支架技术是一种特定的内血管方法.
研究的目的:
- 评估Y配置双Neuroform支架辅助卷轴技术的安全性和有效性.
- 评估脑动脉瘤患者的闭塞率和并发症概况.
- 确定这种内血管战略的长期结果.
主要方法:
- 在2009年7月至2022年7月期间接受治疗的79名患者的回顾性分析.
- 使用Y配置双Neuroform支架辅助卷轴用于脑动脉瘤.
- 使用雷蒙-罗伊闭塞分类 (RROC) 和随访血管学评估动脉瘤闭塞.
主要成果:
- 76%的动脉瘤是偶然的,没有破裂;24%的人接受了再通道治疗.
- 最常见的位置是前沟通动脉 (44.3%) 和中脑动脉 (32.9%).
- 在手术后立即实现100%的闭塞,在6-8个月后达到97.6%,在1-2年后达到100%.
- 报告了2.5%的重大侧脑卒中率,没有与治疗相关的死亡率.
结论:
- Y配置的双Neuroform支架辅助卷轴是一种安全有效的治疗宽两叉动脉瘤.
- 该技术实现了完全动脉瘤封闭的高率.
- 它保持了母动脉的通透性,并与低的并发症率有关.
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