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前交通动脉瘤的支架辅助血管内治疗——文献综述

Stent-Assisted Endovascular Treatment of Anterior Communicating Artery Aneurysms - Literature Review.

作者信息

Kocur Damian, Ślusarczyk Wojciech, Przybyłko Nikodem, Bażowski Piotr, Właszczuk Adam, Kwiek Stanisław

机构信息

Department of Neurosurgery, Medical University of Silesia, School of Medicine in Katowice, Katowice, Poland.

Department of Neurosurgery, Medical University of Silesia, School of Medicine in Katowice, Katowice, Poland; Department of Physiology, Medical University of Silesia, School of Medicine in Katowice, Katowice, Poland.

出版信息

Pol J Radiol. 2016 Aug 9;81:374-9. doi: 10.12659/PJR.896818. eCollection 2016.

Abstract

The anterior cerebral artery is a common location of intracranial aneurysms. The standard coil embolization technique is limited by its inability to occlude wide-neck aneurysms. Stent deployment across the aneurysm neck supports the coil mass inside the aneurysmal sac, and furthermore, has an effect on local hemodynamic and biologic changes. In this article, various management strategies and techniques as well as angiographic outcomes and complications related to stent-assisted endovascular treatment of anterior communicating artery aneurysms are presented. This treatment method is safe and associated with low morbidity and mortality rates.

摘要

大脑前动脉是颅内动脉瘤的常见部位。标准的弹簧圈栓塞技术因无法闭塞宽颈动脉瘤而受到限制。在动脉瘤颈部部署支架可支撑动脉瘤囊内的弹簧圈团块,此外,还会对局部血流动力学和生物学变化产生影响。本文介绍了与前交通动脉瘤支架辅助血管内治疗相关的各种管理策略和技术,以及血管造影结果和并发症。这种治疗方法是安全的,发病率和死亡率较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d8b/4981124/f4c87439c903/poljradiol-81-374-g001.jpg

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