通过筒状血管重建装置植入Neuroform Atlas支架治疗宽颈急性破裂基底动脉瘤。
Neuroform Atlas stent deployment through the Barrel vascular reconstruction device for the treatment of a wide-necked acutely ruptured basilar aneurysm.
作者信息
Valente Iacopo, D'Argento Francesco, Alexandre Andrea, Lozupone Emilio, Garignano Giuseppe, Pedicelli Alessandro
机构信息
1 UOC Radiologia e Neuroradiologia, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
2 Istituto di Radiologia, Università Cattolica del Sacro Cuore, Roma, Italy.
出版信息
Interv Neuroradiol. 2019 Feb;25(1):27-30. doi: 10.1177/1591019918800653. Epub 2018 Sep 20.
BACKGROUND
The Barrel vascular reconstruction device is an electrolytically detachable laser-cut closed-cell stent used for neck reconstruction in wide-necked bifurcation aneurysms to support coiling without necessitating dual stent implantation. The purpose is to lower the metal-to-artery ratio and its inherent risk of thromboembolic complications of multiple stents.
CASE DESCRIPTION
A 53-year-old woman presenting with subarachnoid hemorrhage due to acutely ruptured basilar tip aneurysm underwent emergency endovascular embolization with the Barrel vascular reconstruction device. Since the stent did not cover the entire neck of the aneurysm, an Atlas stent was released in a Y configuration through the Barrel. The Neuroform Atlas correctly opened through the Barrel and allowed the complete exclusion of the aneurysm.
CONCLUSION
If necessary, releasing a Neuroform Atlas through a Barrel vascular reconstruction device is a feasible technique.
背景
Barrel血管重建装置是一种电解可分离的激光切割闭孔支架，用于宽颈分叉动脉瘤的颈部重建，以支持线圈栓塞，无需植入双支架。目的是降低金属与动脉的比例及其多支架血栓栓塞并发症的固有风险。
病例描述
一名53岁女性因急性破裂的基底动脉尖动脉瘤导致蛛网膜下腔出血，接受了使用Barrel血管重建装置的紧急血管内栓塞治疗。由于支架未覆盖动脉瘤的整个颈部，通过Barrel以Y形释放了一个Atlas支架。Neuroform Atlas支架通过Barrel正确打开，并实现了动脉瘤的完全闭塞。
结论
必要时，通过Barrel血管重建装置释放Neuroform Atlas支架是一种可行的技术。
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