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一个织成的EndoBridge从动脉瘤脱落在植入手术后12天:说明案例
Ryuzaburo Kanazawa1, Takanori Uchida1, Tetsuhiro Higashida1
1Departments of Neurosurgery, Nagareyama Central Hospital, Nagareyama, Chiba, Japan.
Journal of neurosurgery. Case lessons
|October 14, 2024
概括
编织EndoBridge (WEB) 装置的延迟迁移导致手术后12天内动脉 (ICA) 堵塞. 这种罕见的并发症通过重新定位WEB设备来成功处理.
科学领域:
- 神经外科 神经外科
- 干预性神经辐射学
背景情况:
- 编织的EndoBridge (WEB 是一种被公认的内血管栓塞装置.
- 设备迁移是一种已知的,尽管不常见的不良事件,通常在植入过程中发生.
研究的目的:
- 报告一个独特的内动脉 (ICA) 阻塞延迟的病例,由织成的EndoBridge (WEB) 装置引起.
- 突出初始成功植入后晚 WEB 设备迁移和封闭的可能性.
主要方法:
- 一名患有扩大的左ICA动脉瘤的患者成功地进行了设备植入.
- 患者在手术后12天内由于WEB设备迁移而出现左侧ICA封闭.
- 封闭的WEB设备被成功地检索并使用索菲亚导管重新定位.
主要成果:
- 编织EndoBridge (WEB) 装置在无故植入后12天迁移并堵塞了左侧内动脉 (ICA).
- 标准的检索技术 (山羊陷,支架检索器) 没有成功.
- 吸入辅助的检索和WEB设备的重新定位是成功的.
结论:
- 虽然大多数WEB设备迁移发生在手术过程中,但本案证明了延迟迁移和ICA闭塞在手术后12天的罕见情况.
- 医生应该意识到晚期移动和封闭的可能性.
- 通过特定的技术,可以成功地重新定位迁移的WEB设备.
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