使用EKOS内血管系统治疗脑静脉鼻血栓与视力损伤的治疗干预:说明案例
Evgueni Kouznetsov1, Michael Manchak1, Qasim Durrani1
1Sanford Brain and Spine Institute, Fargo, North Dakota.
Journal of neurosurgery. Case lessons
|January 22, 2026
概括
使用EKOS系统的超声波辅助血栓溶解为导致视力丧失的严重脑静脉鼻血栓 (CVST) 提供了潜在的治疗方法. 在这些关键情况下,早期干预是最佳视觉恢复的关键.
科学领域:
- 神经学 神经学
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 大脑静脉鼻血栓塞 (CVST) 可能导致视力丧失,原因是内压力增加.
- 在严重的CVST病例中,标准抗凝治疗可能不足.
- 作为潜在的向治疗,EKOS内血管系统提供了超声波辅助血栓溶解.
研究的目的:
- 评估EKOS内血管系统在CVST和严重视觉功能障碍患者的安全性和有效性.
- 评估早期干预对接受EKOS治疗的CVST患者视力恢复的影响.
主要方法:
- 一系列病例涉及三名患有CVST和严重视力障碍的患者.
- 在传统疗法失败后进行了EKOS超声波辅助血栓溶解.
- 程序涉及24小时血栓溶解,对视觉功能和乳腺瘤的结果进行了评估.
主要成果:
- 两名患者在早期治疗 (在症状出现的几天内) 显示出明显的视力恢复和 papilledema 解决.
- 第三个患有晚期呈现的患者实现了 papilledema 解析,但视力恢复有限.
- 所有EKOS手术在技术上都是成功的,耐受性很好,没有并发症.
结论:
- EKOS血栓溶解可能是一种安全有效的选择,用于视力威胁的脑内高血压二次CVST,特别是后抗凝失败.
- 早期使用EKOS治疗对于最大限度地提高CVST患者的视觉结果至关重要.
- 需要对更大规模的研究进行进一步的研究,以确认疗效,安全性和最佳治疗时间.
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