复杂的大脑动脉瘤在中脑动脉分叉处的栓塞使用WovenEndoBridge与支架相结合 (两个病例报告)
Shu-Juan Zuo1,2, Qing-Liang Chen1, Li-Shan Ding2
1Department of Radioactive Intervention, Henan No. 3 Provincial People's Hospital Zhengzhou 450007, Henan, China.
American journal of translational research
|February 12, 2026
概括
这项研究介绍了一种使用Atlas支架的技术,以协助WovenEndoBridge (WEB) 设备对复杂的大脑动脉瘤的栓塞. 这种方法成功地保护了母动脉,并确保了有效的动脉瘤治疗.
科学领域:
- 神经外科 神经外科
- 干预性神经辐射学
- 医疗器械 医疗器械
背景情况:
- 编织EndoBridge (WEB 是一种新兴的设备,用于通过创建内流动干扰来治疗脑动脉瘤.
- 设备放置存在挑战,特别是当母动脉受到影响时.
- 限量报告涉及管理不满意的释放位置或母动脉妥协.
研究的目的:
- 描述复杂脑动脉瘤中支架辅助WEB栓塞的技术.
- 评估使用Atlas支架在WEB部署期间管理母动脉干扰的可行性和安全性.
- 报告中脑动脉分支动脉瘤患者的结果.
主要方法:
- 两名中脑动脉分叉处有囊性动脉瘤的患者的回顾性病例报告.
- 使用WovenEndoBridge (WEB) 装置进行动脉瘤栓塞.
- 在最初部署引起干扰时,使用Atlas支架作为辅助来保护母动脉,并促进WEB安置.
- 详细的手术前评估,手术规划和术后管理.
主要成果:
- 在这两名患者中,成功实现了动脉瘤栓塞.
- 使用阿特拉斯支架可以防止母动脉的损害和中脑动脉 (MCA) 分支栓塞.
- 术后血管造影证实,母动脉没有阻塞.
- 这两位患者都从支架辅助的WEB栓塞手术中受益.
结论:
- 支架辅助WEB栓塞是一种可行且有效的技术,用于治疗中脑动脉分叉处的复杂动脉瘤.
- 这种方法为在WEB设备部署期间管理母动脉干扰提供了解决方案.
- 描述的方法在具有挑战性的动脉瘤病例中提高了安全性和有效性.
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