转循环逆行部署的神经形式阿特拉斯支架辅助线圈栓塞用于上大脑小动脉动脉瘤
Linggen Dong1,2, Xiheng Chen3, Dachao Wei1,2
1Department of Interventional Neuroradiology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China.
概括
上大脑小动脉 (SCA) 动脉瘤很少见,通常是宽的. 通过循环技术提供了一个可行的方法来提供支架,成功治疗一个具有挑战性的SCA动脉瘤病例.
科学领域:
- 神经外科 神经外科
- 干预性神经放射学 干预性神经放射学
- 血管神经学 血管神经学
背景情况:
- 上大脑小动脉 (SCA) 动脉瘤不常见,占内动脉瘤的1-2%.
- 这些动脉瘤经常出现宽的部,使治疗复杂化.
- 关动脉和基底动脉之间的急角使得传统的向静脉支架提供具有挑战性.
研究的目的:
- 介绍一个用转循环技术成功治疗宽SCA动脉瘤的病例.
- 突出SCA动脉瘤挑战性转循环方法的可行性和潜在益处.
主要方法:
- 利用转循环技术,通过后部通讯动脉引导微导管从前部到后部循环.
- 在动脉瘤部部署了一个支架,以确保完全覆盖并确保治疗.
- 在知情同意后执行程序.
主要成果:
- 通过转循环技术成功治疗了宽SCA动脉瘤.
- 通过部署支架,实现了动脉瘤部的有效覆盖.
- 证明了从前循环访问SCA的技术可行性.
结论:
- 转循环技术是治疗宽SCA动脉瘤的一个有希望的替代方案,特别是那些具有急性角度的动脉瘤.
- 这种方法有助于在具有挑战性的解剖结构中部署支架.
- 对于精选的SCA动脉瘤病例,需要对这种技术进行进一步的研究.
相关概念视频
Pulmonary Embolism I: Introduction
755
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
755
Aneurysm I: Introduction
439
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
439
Pulmonary Embolism III: Nursing Management
453
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
453
Cranial Bones: Superior and Posterior View
5.2K
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
5.2K
Aneurysm IV: Nursing Management
482
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
482
Aneurysm III: Interprofessional Care
309
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
309


