一种救援治疗,以释放流量重定向内膜灯管装置的扭曲
Ryuzaburo Kanazawa1, Takanori Uchida1, Tetsuhiro Higashida1
1Department of Neurosurgery, Nagareyama Central Hospital, Chiba, Japan.
Surgical neurology international
|September 9, 2024
概括
本案例报告详细介绍了尽管初始扭曲,但流量重定向内光装置 (FRED) 的成功部署. 这种技术为在神经血管手术中挑战FRED支架安置提供了一个潜在的解决方案.
科学领域:
- 内血管神经外科手术 血管内血管神经外科
- 医疗器械技术 医疗器械技术
- 脑血管疾病管理
背景情况:
- 流量重定向内发光装置 (FRED) 用于治疗脑动脉瘤.
- 虽然FRED的部署总体上是成功的,但可能会遇到技术上的挑战.
- 本报告涉及FRED部署与近距离扭曲的特定实例.
研究的目的:
- 展示一个成功部署FRED的案例,尽管最初的近距离扭曲.
- 描述一种技术,以克服FRED支架的部署困难.
- 在模拟场景中调查FRED部署的机制.
主要方法:
- 一名患有左侧内动脉动脉瘤的患者接受了5.5毫米FRED的治疗.
- 支架被部署在近位侧扭曲,需要干预与特定的交付工具.
- 一个3D血管模型被用于实验性地重建和分析部署场景.
主要成果:
- 尽管初始的近距离扭曲,FRED成功地部署使用权杖C导管和CHIKAI 315厘米导线.
- 在3D模型上的实验模拟证实了该技术的可行性,以克服部署挑战.
- 患者的治疗最终取得了成功,FRED正确放置.
结论:
- FRED支架在动脉瘤治疗中是有效的,但可能会带来部署困难.
- 描述的方法为管理扭曲的FRED部署提供了一种可行的方法.
- 这种技术可以改善复杂的内血管神经外科病例的结果.
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