内动脉瘤的血管内治疗:综合性审查
Miriam M Shao1, Timothy G White1, Jared B Bassett1
1Department of Neurosurgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital, Manhasset, NY 11030, USA.
Journal of clinical medicine
|October 26, 2024
概括
血管内流动干扰剂为复杂的宽动脉瘤 (WNA) 提供了一种新的,有效的内血管治疗方法. 这些设备在传统方法不足的地方显示出希望,正在调查新的选择.
科学领域:
- 神经外科 神经外科
- 血管内治疗疗法 血管内疗法
- 医疗器械 医疗器械
背景情况:
- 复杂的内动脉瘤,特别是宽动脉瘤 (WNAs) 的内血管治疗存在重大挑战.
- 像气球辅助卷轴,支架辅助卷轴和流量转移这样的既定技术都有局限性.
- 血管内流动干扰器设备代表了神经干预学家的一种新方法.
研究的目的:
- 为治疗复杂的内动脉瘤而使用的血管内流动干扰器设备提供全面的审查.
- 讨论具有里程碑意义的研究和各种细胞内器械的临床应用.
- 突出这些设备在神经干预程序中的有效性和潜力.
主要方法:
- 一个叙述性回顾的里程碑性研究涉及血管内流量破坏装置.
- 具体设备的讨论包括Woven EndoBridge (WEB),Artisse,Contour,Saccular Endovascular Aneurysm Lattice Embolization System (SEAL),Medina和Trenza. 这三种设备的讨论包括在内.
- 分析这些设备在宽动脉瘤的内血管治疗中的作用.
主要成果:
- 血管内器件在治疗复杂动脉瘤,包括宽动脉瘤 (WNA) 中已经证明有效.
- 这些设备为具有挑战性的动脉瘤病例提供了传统内血管技术的可行替代方案.
- 早期的结果表明,在神经干预中,细胞内治疗具有有利的概况.
结论:
- 内流动干扰剂构成了治疗内动脉瘤的新型和有效的内血管疗法.
- 这些设备在治疗宽动脉瘤的疗效得到了当前证据的充分支持.
- 对于SEAL和Trenza等新设备的正在进行的临床研究预计将进一步定义它们的作用.
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