球囊辅助插管用于困难的大脑前动脉入路
Balloon-Assisted Cannulation for Difficult Anterior Cerebral Artery Access.
作者信息
Naragum Varun, AbdalKader Mohamad, Nguyen Thanh N, Norbash Alexander
机构信息
Department of Neurology and Radiology, Boston Medical Center, Boston, Massachusetts, USA.
Department of Radiology, Boston Medical Center, Boston, Massachusetts, USA.
出版信息
Interv Neurol. 2018 Feb;7(1-2):48-52. doi: 10.1159/000481542. Epub 2017 Nov 15.
Abstract
The anterior communicating artery is a common location for intracranial aneurysms. Compared to surgical clipping, endovascular coiling has been shown to improve outcomes for patients with ruptured aneurysms and we have seen a paradigm shift favoring this technique for treating aneurysms. Access to the anterior cerebral artery can be challenging, especially in patients with tortuous anatomy or subarachnoid hemorrhage or in patients presenting with vasospasm. We present a technique for cannulating the anterior cerebral artery using a balloon inflated in the proximal middle cerebral artery as a rebound surface.
摘要
前交通动脉是颅内动脉瘤的常见部位。与手术夹闭相比，血管内栓塞已被证明可改善破裂动脉瘤患者的治疗效果，并且我们已经看到一种有利于采用这种技术治疗动脉瘤的模式转变。进入大脑前动脉可能具有挑战性，尤其是在解剖结构迂曲、蛛网膜下腔出血的患者或出现血管痉挛的患者中。我们介绍一种利用在大脑中动脉近端充盈的球囊作为反弹表面来插管大脑前动脉的技术。
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