临时支架辅助线圈栓塞的长期结果用于治疗内动脉瘤使用康曼尼奇重塑装置
Jakub Onikijuk1, Adrian Rogala1,2, Kazimierz Kordecki1,3
1Department of Neurosurgery, Brodnowski Masovian Hospital, Warsaw, Poland.
Operative neurosurgery (Hagerstown, Md.)
|February 4, 2026
概括
康曼尼奇装置提供安全的,临时的支持,用于用卷轴治疗宽内动脉瘤 (IA). 长期结果显示,并发症率低,使其对IA栓塞有效.
科学领域:
- 内血管神经外科手术 血管内血管神经外科
- 医疗器械技术 医疗器械技术
- 脑血管疾病管理的管理
背景情况:
- 内动脉瘤 (IAs) 具有重大风险,需要有效的治疗策略.
- 康曼尼奇装置在线圈栓塞过程中提供临时的部覆盖,维持血液流动并提高安全性.
- 支架辅助卷轴是治疗复杂的宽内脏病的关键技术.
研究的目的:
- 通过使用Comaneci装置评估内动脉瘤治疗的长期结果.
- 为了评估临时支架辅助线圈栓塞的安全性和有效性,用于宽部IA.
- 为了确定动脉瘤封闭率和与Comaneci装置相关的并发症.
主要方法:
- 对100名连续患有偶发性,压缩性和破裂性IA的患者进行了回顾性分析.
- 纳入标准:宽动脉瘤 (部宽度≥4毫米或顶与部比率<2).
- 3,6,12和18个月使用修改的雷蒙德-罗伊分类进行血管造影随访.
主要成果:
- 在所有病例中,Comaneci装置都成功部署,在97名患者中弥合了动脉瘤的部.
- 在18个月后,90名患者实现了充分的闭塞 (雷蒙德-罗伊1+2).
- 10名患者经历了再通道化,并使用流量转移支架进行治疗.
结论:
- 康曼尼奇装置促进了对内动脉瘤的安全内血管治疗.
- 该程序表明并发症风险低,没有报告与程序相关的发病率或死亡率.
- 使用Comaneci装置进行临时支架辅助卷轴是广泛部IA治疗的有效选择.
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