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复杂的中脑动脉动脉瘤治疗的混合手术室:一个技术说明

Dieter Thijs¹, Ana Rodríguez-Hernánde², Tomas Menovsky¹

¹Department of Neurosurgery, Antwerp University Hospital, Edegem, Belgium.

|March 9, 2026

概括

混合手术室 (H-OR) 为复杂的大脑动脉瘤提供了新的选择. 一种新的技术结合了绕道和内血管封闭,减少了MCA动脉瘤的风险和手术时间.

科学领域:

神经外科神经外科
内血管外科血管内血管外科
血管神经学血管神经学

背景情况:

混合手术室 (H-OR) 扩大了复杂的内动脉瘤的治疗可能性.
将内血管技术与微手术相结合,为大,远端和状MCA动脉瘤提供了不那么侵入性的选择.

研究的目的:

详细介绍混合方法的技术方面,使用微导管导向的闪光光用于复血管化旁路和内血管母血管封闭 (PVO).
在三个复杂的MCA动脉瘤病例中评估该技术.

主要方法:

在H-OR中执行的三个案例的技术报告.
使用了STA收获,骨切割,大腿动脉接入和微导管插入动脉瘤.
采用印ocyanine绿色 (ICG) 注射与微导管导向视频血管学,用于对绕道器进行精确的血管识别.

主要成果:

在所有情况下,混合闪光光技术成功地确定了绕道的目标血管.
绕道通透性通过血管造影在手术内得到证实.
绕道之后,进行了动脉瘤和母血管的内血管封闭.

结论:

这种混合策略将广泛的骨切除和动脉瘤操纵的需要降至最低,从而减少复杂的状MCA动脉瘤的手术风险和手术持续时间.
H-OR环境为各种神经血管疾病提供了创新,高效和安全的治疗策略.

关键词:

复杂的动脉瘤是复杂的动脉瘤.这是一个EC-IC绕道.闪光灯的光效应闪光的光效应混合动力手术室混合动力手术室中脑动脉动脉瘤中脑动脉动脉瘤

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