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WEB 辅助微导丝导航治疗复杂宽颈颅内动脉瘤:技术说明。

WEB-assisted microwire navigation for the treatment of complex wide-neck intracranial aneurysms: Technical note.

机构信息

Neuroradiology department, University Hospital Gui-de-Chauliac, CHU de Montpellier, 34000 Montpellier, France.

Neuroradiology department, University Hospital Gui-de-Chauliac, CHU de Montpellier, 34000 Montpellier, France.

出版信息

J Neuroradiol. 2020 Jun;47(4):323-327. doi: 10.1016/j.neurad.2019.03.011. Epub 2019 Apr 5.

DOI:10.1016/j.neurad.2019.03.011
PMID:30954550
Abstract

BACKGROUND

Unfavorable aneurysm anatomy can make microwire navigation challenging, increasing the risk of complications. We present our experience of WEB-assisted microcatheterization in complex aneurysms.

CLINICAL PRESENTATION

Flow diversion was performed for three wide-neck large/giant intracranial aneurysms. A WEB was placed inside the sac, blocking the aneurysm neck and providing a contact surface to redirect the microwire across the aneurysm.

CONCLUSION

WEB-assisted microcatheterization appears an alternative strategy for the treatment of complex aneurysms.

摘要

背景

不利的动脉瘤解剖结构可能使微导丝导航变得具有挑战性,增加并发症的风险。我们介绍了 WEB 辅助微导管技术在复杂动脉瘤中的应用经验。

临床表现

对三个宽颈大型/巨大颅内动脉瘤进行了血流导向治疗。WEB 被放置在动脉瘤腔内,闭塞动脉瘤颈部,提供一个接触表面,使微导丝能够穿过动脉瘤。

结论

WEB 辅助微导管技术似乎是治疗复杂动脉瘤的一种替代策略。

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