评估气球辅助的快速间歇序列卷圈技术,用于治疗宽脑动脉瘤
Osama Awad1, Mohammad Al-Shatouri1, Magdy El-Nisr1
1Department of Diagnostic and Interventional Radiology, Suez Canal University Hospital, Ismailia, EGY.
Cureus
|February 5, 2025
概括
气球辅助的快速间歇连续卷曲技术 (BARISCT) 是治疗宽脑动脉瘤 (WNCAs) 的安全有效方法. 这种方法成功地以最小的并发症堵塞了动脉瘤,降低了线圈脱落风险.
科学领域:
- 神经外科 神经外科
- 干预神经病学 干预神经病学
- 血管神经学 血管神经学
背景情况:
- 气球辅助卷曲 (BAC) 是用于宽脑动脉瘤 (WNCAs) 的辅助内血管方法.
- 对于不利的解剖学,可能需要内支架,因为单独的BAC可能无法防止线圈突出.
- 气球辅助的间歇性连续快速卷绕技术 (BARISCT) 的安全性和有效性得到了调查.
研究的目的:
- 为了评估BARISCT的安全性.
- 评估BARISCT在WNCA卷轴过程中防止线圈脱落的有效性.
主要方法:
- 这是一项涉及超过19名WNCA患者的准实验性研究.
- 患者在苏伊士运河大学医院神经干预病房接受治疗 (2021年3月至2023年4月).
- 纳入标准包括WNCA具有不利的圆顶到部比 (<2) 或部长度 (>4毫米).
主要成果:
- 在封闭破裂和未破裂的WNCAs方面,BARISCT证明了安全性和成功.
- 实现了大约73%的完全闭塞率.
- 这项技术导致了最小的后果,没有重大并发症.
结论:
- 巴里斯克特是一种安全而成功的内血管治疗WNCAs.
- 该方法显示并发症风险没有增加.
- 在复杂的WNCA治疗中,BARISCT是一种可行的选择.
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