在Woven EndoBridge (WEB) 装置脱落后,血管内机械阻塞的救援技术
Haoyu Zhu1,2, Yupeng Zhang2, Shikai Liang3
1Department of Neurosurgery, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China.
Journal of neurointerventional surgery
|October 21, 2024
概括
在动脉瘤治疗期间,Woven EndoBridge (WEB 装置的脱离失败可能是具有挑战性的. 本技术视频展示了一种成功的重新定位技术,以在设备突出后恢复血液流动.
科学领域:
- 内血管神经外科手术 血管内血管神经外科
- 脑血管疾病 脑血管疾病
- 医疗器械技术 医疗器械技术
背景情况:
- 编织EndoBridge (WEB) 设备是血管分叉处脑动脉瘤的标准治疗方法.
- 诸如脱落失败等并发症可能发生,这带来了重大的临床挑战.
研究的目的:
- 展示一种新的技术来管理一个未能正确脱离的编织EndoBridge (WEB 设备.
- 为了说明在部署WEB设备后血管内机械阻塞的救援策略.
主要方法:
- 一个技术视频展示了一个左中脑动脉分支动脉瘤的病例,用WEB设备治疗.
- 详细展示故障脱离故障的故障排除,包括使用微导管和微导线重新定位设备.
主要成果:
- 网络设备已成功部署,但未能脱离,导致突起并损害了血液流动.
- 将突出的WEB装置重新放置到动脉瘤囊中,成功地恢复了血液流动.
- 一个阿特拉斯支架在管理WEB设备突出方面提供了有限的支持.
结论:
- 轻轻地重新定位突出的WEB设备是一种可行的救援技术,用于管理脱离故障.
- 亚特拉斯支架在支持突出的WEB设备方面可能具有有限的实用性.
- 这一案例突出了对分支动脉瘤的内血管治疗的关键技术考虑.
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