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脑动脉瘤的血流导向治疗。

Flow diversion for cerebral aneurysms.

作者信息

Carnevale Joseph A, Goldberg Jacob L, Kocharian Gary, Garton Andrew L A, Ramos Alexander, Schwarz Justin, Boddu Srikanth Reddy, Gobin Y Pierre, Knopman Jared

机构信息

Department of Neurological Surgery, Weill Cornell Medicine/NewYork-Presbyterian Hospital, New York, New York.

出版信息

Neurosurg Focus Video. 2022 Oct 1;7(2):V2. doi: 10.3171/2022.7.FOCVID2253. eCollection 2022 Oct.

Abstract

The treatment of cerebral aneurysms includes open microsurgical options (e.g., clipping, trapping/bypass) and evolving endovascular techniques. Following the landmark trials that propelled endovascular treatment to the forefront, flow diversion has shown high aneurysm cure rates with minimal complications. Flow diversion stents are placed in the parent vessel, redirecting blood flow from the aneurysm, promoting reendothelization across the neck, and resulting in complete occlusion of the aneurysm. As a result, flow diversion has become increasingly used as the primary treatment for unruptured aneurysms; however, its applications are being pushed to new frontiers. Here, the authors present three cases showcasing the treatment of intracranial aneurysms with flow diversion. The video can be found here: https://stream.cadmore.media/r10.3171/2022.7.FOCVID2253.

摘要

脑动脉瘤的治疗方法包括开放性显微手术选择(如夹闭、包裹/搭桥)以及不断发展的血管内技术。在推动血管内治疗走向前沿的具有里程碑意义的试验之后,血流导向术已显示出高动脉瘤治愈率且并发症极少。血流导向支架放置在供血血管中,将血流从动脉瘤引开,促进瘤颈处的再内皮化,并导致动脉瘤完全闭塞。因此,血流导向术越来越多地被用作未破裂动脉瘤的主要治疗方法;然而,其应用正在拓展到新的领域。在此,作者展示了三例采用血流导向术治疗颅内动脉瘤的病例。视频可在此处找到:https://stream.cadmore.media/r10.3171/2022.7.FOCVID2253

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