“拉链技术”-一种用于巨大盘绕血栓性动脉瘤取栓的拉链/解拉链操作-我是如何操作的。
"The zipper technique"-a zip/unzip manoeuvre for thrombectomy in a giant coiled thrombotic aneurysm - how i do it.
机构信息
Neurosurgery Department, AP-HP, Henri Mondor University Hospital, 94000, Créteil, France.
Service de Neurochirurgie, GHU-Paris Psychiatrie Et Neurosciences, Site Sainte Anne, 75014, Paris, France.
出版信息
Acta Neurochir (Wien). 2024 Nov 26;166(1):478. doi: 10.1007/s00701-024-06369-4.
BACKGROUND
In GTA, exposing the neck is challenging, and temporary clipping is often not feasible, increasing the risk of intraoperative bleeding.
METHOD
An aneurysmotomy with a continuous lock on one side and a clip on the other is performed and functions as a "zipper." During thrombectomy, if bleeding occurs, the zipper closes for temporary clipping. A clinical case demonstrates this technique.
CONCLUSION
The 'zipper' technique is a novel approach that offers the potential benefit of performing thrombectomy without requiring proximal control. Moreover, it may reduce the overall duration of temporary clipping by breaking it down into shorter intervals. However, this is a proof of concept demonstrated in a single case, and further validation through additional cases is necessary to confirm its efficacy.
背景
在 GTA 中，暴露颈部具有挑战性，并且临时夹闭通常不可行，这增加了术中出血的风险。
方法
进行一侧连续锁合、另一侧夹闭的动脉瘤切开术，并充当“拉链”。在血栓切除术中，如果发生出血，拉链会关闭以进行临时夹闭。一个临床病例展示了该技术。
结论
“拉链”技术是一种新颖的方法，它有可能在不需要近端控制的情况下进行血栓切除术。此外，通过将其分解为较短的间隔，它可能会减少临时夹闭的总时间。然而，这只是一个在单个病例中证明的概念，需要通过更多病例进一步验证来确认其疗效。
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