延迟不稳定和破裂一个巨大的前部循环动脉瘤后的流量转换器放置:一个案例报告
Artur Eduardo Martio1, Samuel Luís Scaravonatto Baldo Cunha1, Luciano Bambini Manzato1
1Division of Interventional Neuroradiology, Hospital de Clínicas de Passo Fundo, RS, Brazil.
Brain circulation
|April 14, 2025
概括
流量转移支架治疗内动脉瘤,但可能会失败,导致晚期破裂. 完全消灭对于预防诸如动脉瘤生长和治疗后破裂等并发症至关重要.
科学领域:
- 神经外科 神经外科
- 干预性神经辐射学
- 血管神经学 血管神经学
背景情况:
- 转流支架用于内动脉瘤,特别是大或宽的动脉瘤.
- 治疗的成功并不能保证,特别是巨型动脉瘤,有不完全消灭的风险.
研究的目的:
- 报告在转流式支架治疗后发生晚期动脉瘤扩张和破裂的情况.
- 讨论这种罕见并发症的病理生理学和预防.
主要方法:
- 一个65岁的妇女患有巨型眼部段动脉瘤的病例介绍.
- 对流量转移支架并发症和病理生理学的文献的审查.
主要成果:
- 患者在治疗后2年和4个月经历了动脉瘤扩张和破裂.
- 不完整的消灭被确定为关键因素,导致流量增加和炎症.
结论:
- 完整的动脉瘤消灭是必要的,以防止流量转移支架治疗后的晚期并发症.
- 结合处理技术可能是必要的,以确保完全消灭和减少破裂的风险.
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