使用流量转换器支架治疗急性阴性脑血管损伤的治疗方法
Eric A Grin1, Svetlana Kvint1, Eytan Raz1,2
1Department of Neurosurgery, NYU Grossman School of Medicine, New York , New York , USA.
Operative neurosurgery (Hagerstown, Md.)
|September 23, 2024
概括
流量转移支架为急性阴性脑血管损伤 (如伪动脉瘤) 提供安全有效的内血管治疗. 早期血管造影对于诊断在成像上不立即可见的损伤至关重要.
科学领域:
- 血管外科 血管外科
- 干预性神经放射学 干预性神经放射学
- 脑血管疾病 脑血管疾病
背景情况:
- 创血性脑血管损伤可能导致严重的并发症,如内出血和伪动脉瘤.
- 目前对这些伤害的管理策略缺乏明确的共识.
- 用流量转移支架进行内血管治疗是一种潜在的治疗选择.
研究的目的:
- 用流量转移支架来描述急性阴性脑血管损伤的内血管治疗方法.
- 评估这种治疗方式的安全性和有效性.
主要方法:
- 六名患有阴性脑血管损伤的患者电子病历的回顾性审查.
- 分析受伤类型,病因,诊断时间和内血管管理.
- 对抗血小板治疗方案,栓塞成功和临床结果的评估.
主要成果:
- 六名大脑动脉受伤的患者接受了流量转移支架 (管道栓塞装置或丝视野婴儿) 的治疗.
- 所有装置都成功部署,没有出现复发,再出血,父动脉封闭或狭窄.
- 在四名患者中实现了完全的伪动脉瘤闭塞.
结论:
- 流量转移支架,结合适当的抗血小板疗法,为复杂的急性阴性性脑血管损伤提供安全有效的治疗.
- 当初始成像无法在创伤后立即检测到损伤部位时,建议重复血管造影.
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