在中脑膜动脉栓塞中,卷积与颗粒卷积的非劣势:技术说明和案例系列
Ryan W Sindewald1, Arvin R Wali1, Nikhil K Murthy1
1Department of Neurosurgery, UC San Diego School of Medicine, San Diego, CA, USA.
Journal of cerebrovascular and endovascular neurosurgery
|April 16, 2025
概括
单独的线圈与用于中脑膜动脉栓塞的线圈和颗粒一样有效,用于治疗腹膜下血瘤. 这种最少的侵入性方法在一小群患者中提供了可比的结果,没有并发症.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
背景情况:
- 腹膜下血液瘤可以通过中脑膜动脉栓塞治疗.
- 传统的栓塞通常使用线圈和颗粒 (PVA).
研究的目的:
- 评估卷轴作为中脑膜动脉栓塞的独立治疗方法.
- 为了比较单线圈栓塞与线圈和颗粒栓塞的组合,用于腹腔内血瘤.
主要方法:
- 四名患有双边腹膜下血瘤的患者接受了双边中脑膜动脉栓塞.
- 一侧用线圈和PVA处理;另一侧仅用线圈处理.
- 结局包括症状缓解,成像变化和3个月的随访后的并发症.
主要成果:
- 所有患者均表现出症状和放射性改善.
- 仅用线圈治疗的血瘤就能完全消失.
- 用线圈和PVA治疗的血瘤显示了3个完整的分辨率和1个部分改善.
- 在任何治疗组中都没有观察到并发症.
结论:
- 只有线圈栓塞对于中脑膜动脉栓塞的联合线圈和颗粒栓塞来说并不逊色.
- 这表明,单独的线圈可以成为治疗皮肤下血液瘤的有效独立治疗方法.
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