"CUPCAKE"技术 (由编织的内桥装置所包含的卷曲的潜在伪动脉瘤) 用于治疗具有异常形态的内动脉瘤
Viktorija Vainauskaite1, Yifan Ren1, Mohamed Nasra2,3
1Department of Radiology, Austin Health, Heidelberg, Melbourne, Australia.
概括
在复杂的大脑动脉瘤中,CUPCAKE技术结合了线圈和 WEB 血管内流动干扰. 这种方法显示出很高的成功和安全性,扩大了对具有挑战性的病例的治疗选择.
科学领域:
- 神经外科 神经外科
- 血管内治疗疗法 血管内疗法
- 脑血管疾病 脑血管疾病
背景情况:
- 编织Endobridge (WEB) 设备为内动脉瘤提供安全有效的治疗.
- 设备的限制包括特定的动脉瘤大小和形状的限制.
- 非典型动脉瘤往往具有具有挑战性的形态,不适合标准治疗.
研究的目的:
- 介绍CUPCAKE技术,这是治疗复杂内动脉瘤的新方法.
- 在多中心的回顾性研究中评估CUPCAKE技术的安全性和有效性.
- 评估将常规卷轴与内脉流动中断相结合的可行性.
主要方法:
- 来自澳大利亚三个神经血管中心的前性维护数据的回顾性分析.
- 纳入标准:在2018年4月至2023年9月期间接受CUPCAKE技术治疗的患者.
- 评估患者/动脉瘤特征,程序参数,并发症和结果.
主要成果:
- CUPCAKE技术应用于22个内动脉瘤 (13%的所有WEB治疗病例).
- 在95.5%的动脉瘤中成功实现了即时的流动停滞,没有手术内并发症.
- 随访显示,88.2%的动脉瘤完全堵塞;发生了两个血栓栓塞并发症,其中一个需要重新治疗.
结论:
- CUPCAKE技术为治疗技术上困难的内动脉瘤提供了可行的解决方案.
- 结合传统的线圈与 WEB 血管内流量干扰,证明了技术上的高成功.
- 与单独使用WEB相比,这种联合方法不会增加血栓栓塞并发症.
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