Hecker Constantin, Broussalis Erasmia, Griessenauer Christoph J, Killer-Oberpfalzer Monika
Department of Neurology, Paracelsus Medical University Salzburg, Salzburg, Austria
Institute of Neurointervention, Paracelsus Medical University Salzburg, Salzburg, Austria.
J Neurointerv Surg. 2023 Jan;15(1):70-74. doi: 10.1136/neurintsurg-2021-018426. Epub 2022 May 17.
Treatment of wide-necked complex intracranial aneurysms continues to challenge neurointerventionalists. Intrasaccular flow diverters have expanded the armamentarium considerably and are now used extensively. While five types of devices have already obtained the CE mark for use within Europe, only the Woven EndoBridge (WEB) device is approved by the US Food and Drug Administration. Other intrasaccular devices are the Luna/Artisse Aneurysm Embolization System (Medtronic), the Medina Embolic Device (Medtronic), the Contour Neurovascular System (Cerus), and the Neqstent Coil Assisted Flow Diverter (Cerus). This mini review will provide a compact overview of these devices and a summary of the current literature.
宽颈复杂颅内动脉瘤的治疗仍然是神经介入医生面临的挑战。瘤内血流导向装置极大地扩充了治疗手段,目前已被广泛应用。虽然已有五种装置在欧洲获得CE标志用于临床,但只有编织型内桥(WEB)装置获得了美国食品药品监督管理局的批准。其他瘤内装置包括Luna/Artisse动脉瘤栓塞系统(美敦力公司)、麦地那栓塞装置(美敦力公司)、轮廓神经血管系统(Cerus公司)和Neqstent线圈辅助血流导向装置(Cerus公司)。本综述将简要概述这些装置并总结当前文献。