内动脉动脉瘤的流量调节器支架后的视觉症状:一个回顾性队列研究
Yuko Tanaka1,2, Yoshikazu Matsuda3, Tomoyuki Tsumoto2
1Department of Stroke Medicine and Endovascular Therapy, University of Occupational and Environmental Health, Kitakyushu City, Japan.
Surgical neurology international
|July 14, 2025
概括
对于内动脉动脉瘤的流量调节器支架放置后的视觉症状很常见,但往往是可逆的. 动脉瘤扩大和眼动脉流量减少表明视觉风险较高,建议早期干预以获得更好的结果.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 眼科医生 眼科 眼科
背景情况:
- 视野缺陷和视力损伤是流量转移器 (FD) 支架放置内动脉动脉瘤 (ICA) 后的不太了解的并发症.
- 这些视觉并发症可以显著影响患者的生活质量.
研究的目的:
- 调查ICA动脉瘤的FD支架治疗后视觉症状的发生率和特征.
- 确定与视力恶化相关的风险因素,并评估管理策略.
主要方法:
- 对31名患有32例ICA动脉瘤的患者进行了回顾性分析,这些患者接受了FD支架治疗.
- 根据治疗前后视觉症状将动脉瘤分为症状和无症状组.
- 分析患者人口统计,治疗细节和成像发现,包括眼动脉可视化.
主要成果:
- 视觉症状发生在25%的动脉瘤中,治疗后恶化在9.4%中.
- 动脉瘤扩大 (50%比4.1%) 和眼动脉可视化不良 (50%比12.5%) 在症状患者中明显更常见.
- 没有观察到视网膜动脉封闭或脑缺血事件;用类固醇改善恶化的病例,其中一个需要额外的支架.
结论:
- 对ICA动脉瘤的FD后支架视觉症状相对较常见,但通常是可逆的.
- 动脉瘤扩大和眼动脉流量的早期丧失是视觉风险的关键指标.
- 及时的类固醇治疗和潜在的进一步的内血管干预可以减轻视力下降.
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