低调的可视化内支初级-企业内2支架技术用于远端中脑动脉形动脉瘤:一个病例报告
Tomohiro Matsuda1, Mami Hanaoka2, Takeshi Miyamoto3
1Department of Neurosurgery, Tokushima Prefectural Miyoshi Hospital, Miyoshi, Japan.
Surgical neurology international
|October 20, 2025
概括
一种新的重叠支架技术成功治疗了远端中脑动脉动脉瘤. 这种方法,使用企业2和LVIS Jr.带线圈栓塞的支架,实现了完整的动脉瘤分离,并保持了动脉通透性.
科学领域:
- 神经内血管外科手术是一种神经内血管手术.
- 脑血管疾病 脑血管疾病
- 干预性神经放射学 干预性神经放射学
背景情况:
- 远端中脑动脉 (MCA) 动脉瘤是罕见的 (2-7%的MCA动脉瘤),通常是小的,状的,容易出血.
- 它们的薄壁和位置使得子剪切或简单的线圈栓塞等传统治疗具有挑战性.
- 这一区域的形血栓动脉瘤带来了重大的治疗困难.
研究的目的:
- 报告一个在远端MCA的大型状血栓动脉瘤的病例.
- 用重叠式支架辅助线圈栓塞技术描述成功的治疗方法.
- 评估这种内血管方法对复杂的远端动脉瘤的疗效和安全性.
主要方法:
- 一名28岁的男性因远端MCA动脉瘤出现了下大脑下部出血.
- 最初的缓解性线圈栓塞之后是动脉瘤扩大.
- 叠加式支架辅助线圈栓塞使用企业2和LVIS Jr.支架进行.
主要成果:
- 最初的治疗显示在随访成像上动脉瘤扩大.
- 叠加式支架技术与线圈栓塞导致了完整的动脉瘤分离.
- 在手术后,父动脉的通透性得到维持.
结论:
- LVIS Jr.-within-Enterprise 2支架技术是治疗远端动脉复杂状动脉瘤的可行选择.
- 这种内血管策略可以有效地解决动脉瘤,同时保持母动脉的通透性.
- 这一案例突出了对挑战性远端MCA动脉瘤的开放手术的成功替代方案.
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