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使用竞争性血流导向技术逐步解构大脑后动脉远端动脉瘤

Progressive Deconstruction of a Distal Posterior Cerebral Artery Aneurysm Using Competitive Flow Diversion.

作者信息

Johnson Andrew K, Tan Lee A, Lopes Demetrius K, Moftakhar Roham

机构信息

Wellstar Neurosciences Network, Wellstar Health System, Kennestone Hospital, Marietta, Georgia, USA.

Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois, USA.

出版信息

Neurointervention. 2016 Mar;11(1):46-9. doi: 10.5469/neuroint.2016.11.1.46. Epub 2016 Mar 3.

DOI:10.5469/neuroint.2016.11.1.46
PMID:26958413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4781917/
Abstract

Progressive deconstruction is an endovascular technique for aneurysm treatment that utilizes flow diverting stents to promote progressive thrombosis by diverting blood flow away from the aneurysm's parent vessel. While the aneurysm thromboses, collateral blood vessels develop over time to avoid infarction that can often accompany acute parent vessel occlusion. We report a 37-year-old woman with a left distal posterior cerebral artery aneurysm that was successfully treated with this strategy. The concept and rationale of progressive deconstruction are discussed in detail.

摘要

渐进性解构是一种用于动脉瘤治疗的血管内技术，该技术利用血流导向支架通过将血流从动脉瘤的供血血管分流来促进渐进性血栓形成。在动脉瘤形成血栓的过程中，随着时间的推移会形成侧支血管，以避免通常伴随急性供血血管闭塞而出现的梗死。我们报告了一名37岁患有左大脑后动脉远端动脉瘤的女性，该动脉瘤采用此策略成功治疗。本文详细讨论了渐进性解构的概念和原理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d1a/4781917/a5385cc260e8/ni-11-46-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d1a/4781917/a5385cc260e8/ni-11-46-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d1a/4781917/a5385cc260e8/ni-11-46-g001.jpg

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本文引用的文献

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Progressive deconstruction: a novel aneurysm treatment using the pipeline embolization device for competitive flow diversion: case report.渐进性解构：应用Pipeline 栓塞装置治疗颅内动脉瘤的一种新方法——竞争性血流导向：病例报告。
Neurosurgery. 2014 Mar;10 Suppl 1:E161-6; discussion E166. doi: 10.1227/NEU.0000000000000029.
2
Endovascular treatment for aneurysms of the posterior cerebral artery: 12 years' experience with 21 cases.颅内后循环动脉瘤的血管内治疗:21 例 12 年经验。
Acta Neurochir (Wien). 2011 Nov;153(11):2151-8. doi: 10.1007/s00701-011-1111-5. Epub 2011 Jul 31.
3
Deliberate parent artery occlusion for non-saccular posterior cerebral artery aneurysms.
非囊状大脑后动脉动脉瘤的故意性供血动脉闭塞术
Interv Neuroradiol. 2011 Jun;17(2):159-68. doi: 10.1177/159101991101700204. Epub 2011 Jun 20.
4
Through the choroidal fissure: a quantitative anatomic comparison of 2 incisions and trajectories (transsylvian transchoroidal and lateral transtemporal).经脉络膜裂入路：两种切口和轨迹（经外侧裂经脉络膜和经颞中窝）的定量解剖比较。
Neurosurgery. 2010 Jun;66(6 Suppl Operative):221-8; discussion 228-9. doi: 10.1227/01.NEU.0000369920.68166.6C.
5
Results of surgical management for posterior cerebral artery aneurysms: 7-year experience in the endovascular era.后循环动脉瘤的手术治疗结果：血管内治疗时代的 7 年经验。
Acta Neurochir (Wien). 2009 Dec;151(12):1583-91. doi: 10.1007/s00701-009-0405-3. Epub 2009 Aug 18.
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Endovascular treatment of posterior cerebral artery aneurysms using detachable coils.使用可脱卸弹簧圈对大脑后动脉动脉瘤进行血管内治疗。
Neuroradiology. 2008 Mar;50(3):237-42. doi: 10.1007/s00234-007-0321-2. Epub 2007 Nov 13.
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