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用pEGASUS支架用于内分支动脉瘤的Y-stent辅助卷轴:一个多中心的回顾性研究

Abdallah Aburub¹, Ali Khanafer², Zakarya Ali³

¹Department of Neuroradiology, University Hospital of Giessen and Marburg, Philipps-University Marburg, Marburg, Germany.

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

|August 1, 2025

概括

使用PEGASUS支架的Y-stent辅助卷轴 (Y-SAC) 有效治疗宽的脑动脉瘤. 这种技术显示出高,持久的闭塞率与最小的并发症,使其成为一个安全的选择.

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
血管神经学血管神经学

背景情况:

宽子内分支动脉瘤带来了治疗挑战.
Y-stent辅助卷曲 (Y-SAC) 是对这些复杂动脉瘤的一种公认的技术.
关于 Y-SAC 程序中的 pEGASUS 支架,一种新的开放细胞,性涂层支架的数据有限.

研究的目的:

评估使用PEGASUS支架的Y-stent辅助卷轴 (Y-SAC) 的安全性和有效性.
评估用PEGASUS支架治疗内分支动脉瘤患者的动脉瘤闭塞率和临床结果.

主要方法:

这是一项追溯观察性研究,涉及六个神经血管中心的40名患者.
患者在2021年7月至2024年6月期间使用pEGASUS支架进行了Y-SAC.
在术后6个月和12个月使用修改后的雷蒙德-罗伊分类 (MRRC) 评估动脉瘤封闭.

主要成果:

100%的患者实现了即时完全动脉瘤封闭 (MRRC I).
在6-12个月的随访中,92.5%的患者保持了完全的闭塞 (MRRC I).
在95%的患者中观察到有利的功能结果,并发症率低 (4.8%) 和一次重复治疗 (2.5%).

结论:

使用PEGASUS支架的Y-stent辅助卷轴 (Y-SAC) 是治疗宽两叉动脉瘤的安全有效的策略.
这种技术显示了持续性动脉瘤闭塞的高率和患者的良好结果.
需要进一步的前性研究来证实长期疗效和完善治疗方案.

关键词:

通过Y-stent辅助的卷轴.两叉动脉动脉瘤的发生血管内治疗血管内治疗内动脉瘤内动脉瘤神经血管干预的干预佩加索斯 (PEGASUS) 支架是一种支架.

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