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血流导向装置时代血管内和开放手术治疗动脉瘤的并发症。

Complications of Endovascular and Open Aneurysm Surgery in the Era of Flow Diversion.

机构信息

Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, UT, USA.

Mayfield Clinic, Cincinnati, OH, USA.

出版信息

Acta Neurochir Suppl. 2023;130:85-94. doi: 10.1007/978-3-030-12887-6_11.

Abstract

The techniques used for treatment of intracranial aneurysms have progressed dramatically over the decades. The introduction of modern endovascular techniques and the continued refinement of progressively less invasive neurosurgical approaches have contributed to steadily improving clinical outcomes. Moreover, innovations such as flow-diverting stents have achieved dramatic success and have gained rapid widespread adoption. Particularly in lesions for which the application of conventional treatment techniques is difficult, flow diversion technology has revolutionized aneurysm management. This review provides a discussion on the morbidity and mortality encountered in the treatment of intracranial aneurysms in the modern era. Common adverse events faced in the management of these lesions with open surgery and various endovascular techniques are highlighted.

摘要

几十年来,用于治疗颅内动脉瘤的技术取得了显著进展。现代血管内技术的引入和不断改进的创伤越来越小的神经外科方法都有助于临床结果的稳步改善。此外,血流导向支架等创新技术取得了巨大成功,并迅速得到广泛应用。特别是在应用传统治疗技术困难的病变中,血流转向技术彻底改变了动脉瘤的治疗方式。这篇综述讨论了在现代时代治疗颅内动脉瘤时遇到的发病率和死亡率。重点介绍了开放性手术和各种血管内技术治疗这些病变时常见的不良事件。

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