靠近的流量转移器缩短导致突移到动脉瘤的救援技术
Yong Zhang1, Xiguang Fu1, Haoyu Zhu2
1Department of Neurosurgery, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China; Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Journal of neuroradiology = Journal de neuroradiologie
|September 14, 2025
概括
在治疗剖析动脉瘤后,流量转移器可以缩短和迁移. 一种望远镜支架技术成功地挽救了管道柔性盾缩短和迁移的病例,恢复了父动脉通透度.
科学领域:
- 内血管神经外科手术 血管内血管神经外科
- 脑血管疾病管理
背景情况:
- 流量转移器 (FD) 是剖析动脉瘤的标准治疗方法.
- 设备缩短和迁移是与FD部署相关的已知风险.
研究的目的:
- 展示一段技术视频,展示流转变器缩短和迁移的救援策略.
- 为了说明望远镜支架技术在管理流量转移疗法的并发症中的成功使用.
主要方法:
- 本文介绍了Pipeline Flex Shield在左中脑动脉M1段的剖析动脉瘤中部署的一个案例.
- 通过缩短的支架进行了微导线引导的微导管推进.
- 一种交换技术以望远镜的方式促进了第二个流量转移器 (格子) 的部署.
主要成果:
- 在9个月的随访中观察到近端段缩短和初始流量转移器向动脉瘤囊中的迁移.
- 第二个流量转移器的成功部署导致了适当的重叠.
- 通过血管造影确认了母动脉中恢复的光通力.
结论:
- 望远镜支架的部署是缩短和迁移的流量转移器的可行救援策略.
- 在复杂的神经血管病例中,这种技术可以有效地恢复父动脉通透性.
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