一个破裂的基底动脉干剖析动脉瘤的11年随访,用卷轴和多重重叠的支架进行治疗
Ayuho Higaki1,2, Katsunari Namba2, Shigeru Nemoto3
1Department of Neurosurgery, Haga Red Cross Hospital, Moka, Tochigi, Japan.
Journal of neuroendovascular therapy
|October 22, 2025
概括
破裂剖析基底动脉动脉瘤是罕见的和危险的. 这个案例显示了11年内4次血管内治疗,实现了稳定,但没有完全治愈,突出了需要更好的疗法.
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:
- 基底动脉干的剖析动脉瘤很少见,患病率和死亡率很高.
- 关于这些动脉瘤的最佳治疗和长期结果的数据有限.
- 从基底动脉剖析引起的脑下关节下出血 (SAH) 预后不佳.
研究的目的:
- 介绍一下11年的基底动脉干动脉瘤剖析的放射性随访情况.
- 为了评估这种罕见疾病的多种内血管干预的疗效.
- 讨论长期的放射性结果和处理此类病例的挑战.
主要方法:
- 一名32岁的男性患有世界神经外科医生联合会V级SAH由于基底动脉干剖析动脉瘤.
- 管理涉及4个月的四次内血管干预:气球辅助卷曲和重叠企业血管重建装置支架放置.
- 长期随访包括年度MRA和5年的DSA.
主要成果:
- 经过四次内血管手术,该患者在没有神经缺陷的情况下康复.
- 经过11年的随访,发现了基部的小残留动脉瘤,在6年内逐渐增加1.0毫米.
- 尽管动脉瘤生长,但患者在临床上保持稳定,持续预防重新破裂.
结论:
- 多重重叠的支架与线圈栓塞相结合,可以在剖析基底动脉干动脉瘤时实现持续预防重新破裂.
- 完全控制动脉瘤复发并未通过应用的技术实现.
- 为了获得持久的治愈效果,需要对更明确的疗法进行进一步的研究,例如流量转移装置.
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