宽内动脉瘤的血管内疗法:一个叙述性回顾
Kaiquan Zhuo1, Hongxia Wu2, Zhongji Gou1
1Department of Neurology, The People's Hospital of Pengzhou, Pengzhou, China.
Frontiers in neurology
|July 16, 2025
概括
内器件为宽内动脉瘤 (WNIA) 提供了有效的治疗方法,可以达到良好的闭塞率,并可接受并发症. 然而,长期结果和复发数据需要进一步调查.
科学领域:
- 神经外科 神经外科
- 干预性神经放射学 干预性神经放射学
- 血管外科 血管外科
背景情况:
- 宽内动脉瘤 (WNIA) 在干预治疗中存在重大挑战.
- 血管内治疗,包括流动干扰和部桥梁,越来越多地用于WNIAs.
研究的目的:
- 审查和讨论用于治疗WNIAs的血管内装置的疗效和安全性.
- 为了比较输血球治疗结果与外科切割.
主要方法:
- 对WNIAs的血管内装置的当前文献的综述.
- 对报告的血管造影结果和并发症的分析.
- 闭塞率和长期随访数据的比较.
主要成果:
- 大多数WNIA的细胞内疗法都能达到令人满意的闭塞,并具有普遍可接受的并发症率.
- 静脉内治疗的阻塞率通常低于外科切割.
- 有限的长期随访数据存在于WNIAs的血管内治疗,复发和再治疗.
结论:
- 血管内装置是WNIA治疗的可行选择,提供了良好的短期结果.
- 需要进一步的研究来确定长期的安全性,疗效和复发率.
- 手术剪切可能提供更高的闭塞率,但具有不同的风险概况.
更多相关视频
11:07Biodegradable Magnesium Stent Treatment of Saccular Aneurysms in a Rat Model - Introduction of the Surgical Technique
Published on: October 1, 2017
11.2K
07:21Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
Published on: September 8, 2023
795
相关概念视频
Aneurysm III: Interprofessional Care
29
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
29
Aneurysm I: Introduction
28
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
28
