在 Carotid-Ophthalmic动脉瘤的流量转移后的中长期结果:一个单一中心的经验
Gian Marco Frigerio1, Sara Sciacca1, Jeremy Lynch1
1Department of Neuroradiology, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Clinical neuroradiology
|March 4, 2026
概括
流量转移支架 (FDS) 提供了一种安全有效的治疗带眼动脉瘤 (COA),实现高阻塞率和有利的视觉结果. 建议对大动脉瘤进行早期干预,特别是那些引起视觉症状的动脉瘤.
科学领域:
- 干预性神经放射学 干预性神经放射学
- 血管神经外科手术 血管神经外科
- 脑血管疾病是脑血管疾病.
背景情况:
- Carotid-ophthalmic动脉瘤 (COA) 带来了治疗方面的挑战.
- 对COAs的流量转移器支架 (FDS) 的中长期数据有限.
研究的目的:
- 评估对未被破坏的COA使用FDS的机构经验.
- 评估FDS在治疗COAs中的安全性和有效性.
主要方法:
- 在99名用FDS (单独或用卷轴) 治疗的患者中,对105个未破裂的COAs进行了回顾性分析.
- 眼动脉 (OphA) 与动脉瘤关系的分类 (类型1-3).
- 评估临床和血管学结果,包括视觉并发症.
主要成果:
- 技术成功率为98.1%,平均随访时间为38.5个月.
- 在89.1%/98.0%的病例中实现了完全/充分的闭塞.
- 主要不良事件 (1.0%),神经并发症 (3.0%) 和支架内狭窄症 (2.0%) 的低率.
- 新的视力缺陷发生在6.1% (4.0%是短暂的,2.0%是永久的).
- 动脉瘤大小>12毫米和手术前视觉症状与较差的结果有关.
结论:
- 有或没有卷轴的FDS对COAs是安全有效的,提供持久的遮.
- OphA-动脉瘤关系可能会影响阻塞;残留填充可能表明流量保存.
- 早期治疗对于大动脉瘤和症状病例至关重要.
关键词:
大脑动脉瘤是什么?血管内治疗 血管内治疗流量转移的转移 流量转移的转移流量转移结果的结果内动脉是内动脉的一种动脉.内动脉瘤是一个内动脉瘤.低发病率的内血管疾病.低的复发率 低的复发率低的再处理率 低的再处理率副眼科的眼科医生眼镜护理医生 眼镜护理医生强大的治疗内血管.安全流量转移安全流量转移.更多相关视频
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