Suppr超能文献

Waffle-cone 技术联合 Solitaire™ AB 重塑装置:血管内治疗高度选择的复杂脑动脉瘤。

Waffle-cone technique with Solitaire™ AB remodeling device: endovascular treatment of highly selected complex cerebral aneurysms.

机构信息

Department of Diagnostic and Interventional Radiology & Neuroradiology, HELIOS General Hospital Erfurt, Nordhäuser Str. 74, 99089, Erfurt, Germany.

出版信息

Neuroradiology. 2011 Dec;53(12):961-72. doi: 10.1007/s00234-010-0766-6. Epub 2010 Sep 7.

Abstract

INTRODUCTION

To evaluate patients with complex aneurysms who underwent waffle-cone stent-assisted coil embolization.

METHODS

From February 2008 to February 2010, consecutive data were collected from 80 patients with aneurysms treated with the Solitaire™ AB Remodeling Device followed by a standard coiling procedure using bare or/and bioactive coils. Six of these patients were treated using the "waffle-cone-technique" placing the distal end of a stent directly into the base of a bifurcation aneurysm and coiling through the expanded and cone-shaped distal end of the stent allowing for preservation of parent artery patency. The aneurysms were located at the P3 segment of the posterior cerebral artery (n = 1), the middle cerebral artery bifurcation (n = 1), the basilar tip (n = 2), and the AComAnt (n = 2). Four patients underwent follow-up (2-7 months, mean 4.5 months).

RESULTS

Waffle-cone positioning of the Solitaire™ AB Remodeling Device was obtained in all cases without technical problems. No permanent procedural morbidity was observed. In all patients, a Raymond class 2 occlusion was obtained and five patients left the hospital with a good clinical status (mRS0 n = 3, mRS1 n = 1) or no new neurologic deficits (mRS4 n = 1). One patient with SAH III died due to severe vasospasms. Due to major recanalization during follow-up, retreatment was necessary or is planned in four cases; one asymptomatic intimal hyperplasia was observed 8 weeks after initial treatment.

CONCLUSION

The waffle-cone technique may enhance the possibilities of the endovascular treatment of these complex aneurysms. Due to the high rate of recanalization requiring endovascular retreatment, stringent angiographic and clinical follow-up is warranted.

摘要

简介

评估采用华夫饼形锥形支架辅助弹簧圈栓塞治疗的复杂动脉瘤患者。

方法

2008 年 2 月至 2010 年 2 月,连续收集 80 例采用 Solitaire ™ AB 重塑装置治疗的动脉瘤患者的数据,然后采用裸支架或/和生物活性支架进行标准弹簧圈栓塞。其中 6 例采用“华夫饼形锥形支架技术”,将支架的远端直接置于分叉动脉瘤的基底,并通过支架扩张的锥形远端进行弹簧圈栓塞,以保持载瘤动脉通畅。动脉瘤位于大脑后动脉 P3 段(n = 1)、大脑中动脉分叉处(n = 1)、基底动脉尖(n = 2)和前交通动脉(n = 2)。4 例患者接受了随访(2-7 个月,平均 4.5 个月)。

结果

所有病例均成功实现了 Solitaire ™ AB 重塑装置的华夫饼形锥形支架定位,无技术问题。未观察到永久性手术并发症。所有患者均获得 Raymond 分级 2 级闭塞,5 例患者出院时临床状态良好(mRS0 n = 3,mRS1 n = 1)或无新发神经功能缺损(mRS4 n = 1)。1 例蛛网膜下腔出血 3 级患者因严重血管痉挛死亡。由于随访期间出现主要再通,4 例需要或计划进行再次治疗;1 例在初始治疗后 8 周观察到无症状内膜增生。

结论

华夫饼形锥形支架技术可能增强了这些复杂动脉瘤的血管内治疗的可能性。由于再通率高需要血管内再次治疗,需要进行严格的血管造影和临床随访。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验