我怎么做:手术切除微动脉静脉形形
Sergio Corvino1,2, A Yohan Alexander3,4, Giuseppe Lanzino3,5
1Department of Neurological Surgery, Mayo Clinic, 200 First St. SW Floor 8, Rochester, MN, 55905, USA. sercorvino@gmail.com.
Acta neurochirurgica
|February 13, 2025
概括
微动脉静脉形形 (AVM) 的手术内定位是困难的,因为它们的小尺寸. 追踪排水静脉的逆行帮助识别和治疗这些具有挑战性的微型AVM.
科学领域:
- 神经外科 神经外科
- 血管形症 血管形症
- 最少侵入性的技术
背景情况:
- 微动脉静脉形形 (AVMs) 是由一个小于1厘米的体定义的.
- 这些小病变的手术内定位存在重大挑战.
- 尽管局部化存在困难,但一旦发现,治疗往往是直接的.
研究的目的:
- 为了说明微型AVM定位的基本成像和手术内技术.
- 为手术医生管理这些具有挑战性的病变提供实用指南.
主要方法:
- 讨论手术前规划的基本成像方法.
- 描述手术内局部化策略.
- 使用详细的临床案例示例进行插图.
主要成果:
- 实现了微型AVM的成功的手术内定位.
- 描述的技术有助于识别目标病变.
结论:
- 微型AVM带来了重要的手术内局部化挑战.
- 一种逆向的方法,追踪小排水静脉,是有效的识别.
- 综合的解剖学,临床和手术内发现对于成功去除AVM至关重要.
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