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血流导向装置治疗颅内动脉瘤:机制与意义。

Flow diversion for treatment of intracranial aneurysms: Mechanism and implications.

机构信息

Boston University School of Medicine, Boston, MA.

Neurosurgical Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

出版信息

Ann Neurol. 2019 Jun;85(6):793-800. doi: 10.1002/ana.25484. Epub 2019 Apr 22.

Abstract

Flow diverters are new generation stents that have recently garnered a large amount of interest for use in treatment of intracranial aneurysms. Flow diverters reduce blood flow into the aneurysm, with redirection along the path of the parent vessel. Flow stagnation into the aneurysm and neck coverage with subsequent endothelialization are the important synergistic mechanisms by which the therapy acts. Several studies have examined the mechanisms by which flow diverters subsequently lead to aneurysm occlusion. This review aims to provide a general overview of the flow diverters and their mechanism of action and potential implications. ANN NEUROL 2019;85:793-800.

摘要

血流导向装置是新一代支架,最近在颅内动脉瘤治疗中引起了广泛关注。血流导向装置减少了血液流入动脉瘤,使其沿着母血管的路径重新定向。血流停滞在动脉瘤内,颈部被覆盖,随后内皮化,这是该治疗方法发挥作用的重要协同机制。多项研究已经研究了血流导向装置随后导致动脉瘤闭塞的机制。本文旨在对血流导向装置及其作用机制和潜在影响进行综述。ANN NEUROL 2019;85:793-800.

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