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我们是如何做到的?在多模态影像技术引导下的杂交手术中对内侧顶叶动静脉畸形进行外科切除。

How we do it? The surgical resection of a medial parietal arteriovenous malformation under multimodal imaging technology-guided hybrid operation.

机构信息

Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, 200040, China.

Neurosurgical Institute of Fudan University, Shanghai, 200040, China.

出版信息

Acta Neurochir (Wien). 2023 Dec;165(12):3787-3791. doi: 10.1007/s00701-023-05836-8. Epub 2023 Oct 16.

DOI:10.1007/s00701-023-05836-8
PMID:37845355
Abstract

BACKGROUND

This report described the surgical resection of a challenging medial parietal lobe arteriovenous malformation (AVM) using the hybrid operation theater with a multimodal imaging-guided technology.

METHOD

A 29-year-old male was admitted to treat a ruptured medial parietal AVM. The deep and diffusive compartment of the nidus was embolized before resection. Preoperatively and intraoperatively, mixed reality technology with multimodality imaging was utilized for surgical planning and navigation. The nidus was totally resected and confirmed by intraoperative angiography. The patient recovered without sequella.

CONCLUSION

We hope this report provides new insights into applying multimodal imaging technology-guided hybrid operation for brain AVM.

摘要

背景

本报告描述了使用配备有多种模态影像引导技术的杂交手术室对具有挑战性的内侧顶叶动静脉畸形(AVM)进行的手术切除。

方法

一名 29 岁男性因破裂的内侧顶叶 AVM 而入院治疗。在切除前,对病灶深部弥散腔进行了栓塞。在术前和术中等各个阶段,均采用混合现实技术和多种模态影像来进行手术规划和导航。病灶被完全切除,并通过术中血管造影得到了确认。患者术后恢复良好,无后遗症。

结论

我们希望本报告为应用多种模态影像技术引导的杂交手术治疗脑 AVM 提供新的思路。

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本文引用的文献

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Treatment of high-grade brain arteriovenous malformations using a hybrid operating room: A prospective single-arm study.应用杂交手术室治疗高级别脑动静脉畸形:一项前瞻性单臂研究。
Clin Neurol Neurosurg. 2023 Jan;224:107517. doi: 10.1016/j.clineuro.2022.107517. Epub 2022 Nov 12.
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One-Stage Treatment in a Hybrid Operation Room to Cure Brain Arteriovenous Malformation: A Single-Center Experience.杂交手术室一站式治疗脑动静脉畸形:单中心经验。
World Neurosurg. 2021 Mar;147:e85-e97. doi: 10.1016/j.wneu.2020.11.123. Epub 2020 Dec 19.
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Multimodal Management of a Ruptured Right Medial Parietal Arteriovenous Malformation: 2-Dimensional Operative Video.
右侧顶叶内侧动静脉畸形破裂的多模式治疗:二维手术视频
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Combined Endovascular and Microsurgical Treatment of Arteriovenous Malformations in the Hybrid Operating Room.杂交手术室中动静脉畸形的血管内与显微手术联合治疗
World Neurosurg. 2018 Sep;117:e204-e214. doi: 10.1016/j.wneu.2018.05.241. Epub 2018 Jun 8.
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Contralateral posterior interhemispheric approach to deep medial parietooccipital vascular malformations: surgical technique and results.对侧后纵裂入路切除深部内侧顶枕部血管畸形:手术技术与结果。
J Neurosurg. 2018 Jul;129(1):198-204. doi: 10.3171/2017.2.JNS162750. Epub 2017 Jul 21.
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Role of surgery in the management of brain arteriovenous malformations: prospective cohort study.手术在脑动静脉畸形治疗中的作用:前瞻性队列研究。
Stroke. 2014 Dec;45(12):3549-55. doi: 10.1161/STROKEAHA.114.007206. Epub 2014 Oct 16.
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Motor evoked potential monitoring during surgery of middle cerebral artery aneurysms: a cohort study.大脑中动脉动脉瘤手术期间的运动诱发电位监测:一项队列研究。
World Neurosurg. 2014 Dec;82(6):1091-9. doi: 10.1016/j.wneu.2014.09.004. Epub 2014 Sep 8.
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The cerebrum. Anatomy.大脑。解剖学。
Neurosurgery. 2007 Jul;61(1 Suppl):37-118; discussion 118-9. doi: 10.1227/01.NEU.0000255490.88321.CE.