Department of Interventional Radiology, Beaumont Hospital, Beaumont Road, Dublin, Ireland.
Department of Interventional Neuroradiology, Beaumont Hospital, Beaumont Road, Dublin, Ireland.
J Vasc Interv Radiol. 2019 Sep;30(9):1407-1417. doi: 10.1016/j.jvir.2018.12.733. Epub 2019 Apr 26.
The presence of branching vessels, a wide aneurysm neck, and/or fusiform morphology represents a challenge to conventional endovascular treatment of visceral artery aneurysms. A variety of techniques and devices have emerged for the treatment of intracranial aneurysms, in which more aggressive treatment algorithms aimed at smaller and morphologically diverse aneurysms have driven innovation. Here, modified neurointerventional techniques including the use of compliant balloons, scaffold- or stent-assisted coil embolization, and flow diversion are described in the treatment of visceral aneurysms. Neurointerventional devices and their mechanisms of action are described in the context of their application in the peripheral arterial system.
分支血管的存在、宽颈动脉瘤和/或梭形形态都对内脏动脉动脉瘤的传统血管内治疗构成挑战。目前已经出现了多种治疗颅内动脉瘤的技术和设备,旨在治疗更小、形态更复杂的动脉瘤的更积极的治疗方案推动了创新。在此,描述了改良的神经介入技术,包括使用顺应性球囊、支架或支架辅助线圈栓塞和血流导向装置,以治疗内脏动脉瘤。本文还介绍了神经介入器械及其作用机制,并结合其在周围动脉系统中的应用进行了描述。