威利斯覆盖式支架的长期结果用于直接的动脉-洞穴
Tao Zhang1, Hu Chen1, Yufeng Liu1
1Department of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi'an, China.
Frontiers in neurology
|February 9, 2026
概括
威利斯覆盖式支架 (WCS) 有效地治疗了直 carotid-cavernous fistulas (dCCFs) 具有很高的成功和没有并发症. 长期随访显示持续的通透性和症状缓解,尽管一些患者的视力下降.
科学领域:
- 干预性神经辐射学
- 血管外科 血管外科
- 神经学 神经学
背景情况:
- 直鼻腔 (dCCF) 是一种罕见但严重的疾病.
- 对dCCF的治疗选择已经发展,需要安全有效的内血管解决方案.
研究的目的:
- 评估威利斯覆盖式支架 (WCS) 的安全性,疗效和长期结果,用于治疗直 carotid-cavernous 囊 (dCCF).
主要方法:
- 一项回顾性单中心研究包括13名在2014年11月至2019年11月期间用WCS治疗的dCCF患者.
- 收集和分析了临床特征,手术细节和随访 (血管学和临床) 数据.
主要成果:
- 在所有13名患者中都取得了技术上的成功,没有设备或程序相关的并发症.
- 术后76.9%的患者观察到完整的塞,在长期随访 (平均76.8个月) 中,持续的通透性和没有复发.
- 在1个月后的随访中,发现了伤的立即消失和亡的完全消失;然而,16.7%的患者经历了永久的视力损失.
结论:
- 威利斯覆盖式支架 (WCS) 是dCCF治疗的安全有效选择,显示出有利的长期结果.
- 需要进一步的大规模研究和前性随机对照试验来验证这些发现.
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