破裂的基底动脉血泡状动脉瘤使用单个低调可视化内支 (LVIS) 支架进行治疗:一个病例报告
Takuya Maeda1, Haruhiko Kikuta1, Takao Kojima2
1Department of Neurosurgery, Fukushima Medical University, Fukushima, JPN.
Cureus
|February 12, 2026
概括
一个单一的低调可视化内支 (LVIS) 支架有效地治疗了一个罕见的基底动脉血泡状动脉瘤 (BBA) 在下大脑下出血 (SAH) 患者. 这种内血管方法在线圈栓塞具有挑战性时提供了一个可行的替代方案.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 干预性神经辐射学
背景情况:
- 基底动脉血泡状动脉瘤 (BBA) 是罕见的,缺乏确定的治疗指南.
- 由BBAs引起的甲状腺下下垂体出血 (SAH) 存在重大管理挑战.
研究的目的:
- 报告基底动脉BBA的成功内血管治疗,使用单个低调可视化内支 (LVIS) 支架.
- 评估LVIS支架辅助治疗对传统方法难以实现的BBA的疗效.
主要方法:
- 一名63岁的女性患者患有亚急性SAH,这是基底动脉BBA的次要原因.
- 数字减去血管学 (DSA) 证实了1.7毫米的BBA.
- 一个单一的LVIS支架被部署用于重建动脉瘤部,避免因高破裂风险而导致线圈栓塞.
主要成果:
- 使用单个LVIS支架的内血管手术在技术上是成功的.
- 患者经历了无事件的术后恢复,并没有出现神经学缺陷就出院了.
- 在四个月后的随访DSA表明基底动脉BBA的完全解决.
结论:
- 单一的LVIS支架可以成为基底动脉BBA的有效和安全的替代治疗方法,特别是当支架辅助的线圈栓塞在技术上具有挑战性或高风险时.
- 这一案例凸显了LVIS支架部署在管理复杂的内动脉瘤方面的实用性.
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