在基底尖的宽动脉瘤的内血管卷曲的前级水平支架:两个病例报告
Byung Hyun Baek1, Woong Yoon1, You Sub Kim2
1Department of Radiology, Chonnam National University Hospital and Chonnam National University Medical School, Dong-gu, Gwangju, Republic of Korea.
Medicine
|January 31, 2025
概括
前级水平支架 (AHS) 是一种新的技术,用于基底尖的宽动脉瘤. 这种方法促进了线圈栓塞,在具有挑战性的情况下实现了完全封闭.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 血管神经学 血管神经学
背景情况:
- 对于宽内动脉瘤 (WNAs) 的内血管线圈栓塞是复杂的,需要辅助装置.
- 内支架通常用于支持线圈包装,并防止突出进入母动脉.
- 横向支架增强了线圈的输送,降低了血栓栓塞的风险.
研究的目的:
- 评估前级水平支架 (AHS) 的可行性和有效性,用于基底尖的宽动脉瘤 (WNA).
- 评估AHS的潜力,以最大限度地增加线圈插入,并实现完全的动脉瘤闭塞.
- 报告Neuroform Atlas支架在AHS中用于基底尖动脉瘤的使用情况.
主要方法:
- 两名患有偶然检测到的基底尖WNA和低可塑性交流动脉的患者接受了支架辅助的线圈栓塞.
- 使用Neuroform Atlas支架与导管监禁技术进行了前级水平支架 (AHS).
- 一个预先监禁的微导管被放置,支架被部署在动脉瘤部.
主要成果:
- 在这两种情况下,都实现了完整的动脉瘤封闭.
- 在重新放置了微导管后,插入了额外的线圈,在AHS后移动了微导管.
- 神经形阿特拉斯支架的混合细胞设计促进了该程序.
结论:
- 前级水平支架 (AHS) 是一种潜在的有效策略,用于在精选的基底尖WNA中进行紧线圈栓塞.
- 由于其设计,神经形阿特拉斯支架对AHS具有前景.
- 在AHS后转移微导管需要注意,可能需要进一步的干预.
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