真正后部通讯动脉动脉瘤的支架辅助线圈栓塞:一个案例报告
Ryo Matsuzaki1, Yutaka Fuchinoue2, Sho Nitta2
1Department of Neurosurgery, Faculty of Medicine, Toho University, Tokyo, JPN.
Cureus
|March 13, 2026
概括
使用支架辅助卷轴的内血管修复在罕见的后部通讯动脉 (PCoA) 动脉瘤中是有效的. 这种技术实现了完全的闭塞,同时保持了患者的PCoA流.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 干预性神经放射学 干预性神经放射学
背景情况:
- 后沟通动脉 (PCoA) 的真正动脉瘤并不常见.
- 传统的管理通常涉及微手术,但内血管技术正在发展.
研究的目的:
- 为了评估支架辅助卷曲对宽真正的PCoA动脉瘤的疗效.
- 评估在内血管治疗期间保持PCoA流量的可行性.
主要方法:
- 一名74岁的女性患有8毫米不破裂的PCoA动脉瘤,接受了内血管治疗.
- 在PCoA中部署了一个Neuroform Atlas支架,随后使用监禁技术进行了线圈栓塞.
主要成果:
- 实现了完整的动脉瘤封闭.
- 后部通讯动脉 (PCoA) 的通透性得到保留.
- 患者没有经历神经缺陷,在出院时的Rankin评分是0的.
结论:
- 支架辅助卷轴是宽真正的PCoA动脉瘤的可行的重建选择.
- 这种内血管方法有效地治疗PCoA动脉瘤,同时保持重要的血管流动.
- 建议进行长期随访,以确认持久的闭塞.
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