Tubridge血流导向装置治疗破裂颅内动脉瘤临床分析
Tubridge flow diverter for the treatment of ruptured intracranial aneurysms:clinical analysis of its safety and efficacy
朱涛 1李晓 2陈振 3李娟 2韩东明4
作者信息
- 1. 453100 河南卫辉 新乡医学院第一附属医院磁共振科;郑州大学第一附属医院介入手术室
- 2. 郑州大学第一附属医院介入手术室
- 3. 郑州大学第一附属医院神经介入科
- 4. 453100 河南卫辉 新乡医学院第一附属医院磁共振科
- 折叠
摘要
目的 探讨 Tubridge 血流导向装置(TFD)治疗破裂颅内动脉瘤的有效性及安全性.方法 回顾性收集 2019 年 3 月至 2022 年 7 月于郑州大学第一附属医院应用TFD治疗动脉瘤性蛛网膜下腔出血患者临床资料 13 例,依据围手术期及随访期结果进行归纳、总结、分析.结果 13 例患者共13 枚动脉瘤均顺利完成手术.所有病例中TFD联合弹簧圈栓塞 10 例(同期治疗),一期弹簧圈填塞联合择期TFD置入 2 例(分期治疗),单纯TFD置入 1 例.围手术期并发症率为 15.4%(2/13),其中 1 例为无症状性缺血事件,1 例为术后脑室外引流相关性出血并导致患者死亡.中位随访时间 6.5 个月,共 83.3%(10/12)完成脑血管造影(DSA)复查.OKM分级D级,即动脉瘤完全闭塞率 80%(8/10),另有 2 例瘤颈残留(OKM分级 C级).结论 应用TFD治疗破裂颅内动脉瘤是一种可行的治疗方式,具有较好的安全性及有效性.
Abstract
Objective To investigate the efficacy and safety of Tubridge flow diverter(TFD)in the treatment of ruptured intracranial aneurysms.Methods The clinical data of 13 patients with aneurysmal subarachnoid hemorrhage,who received TFD treatment at the First Affiliated Hospital of Zhengzhou University between March 2019 and Jul 2022,were retrospectively collected.The perioperative materials and follow-up results were summarized and analyzed.Results Successful operation was accomplished in all the 13 patients(13 aneurysms in total).TFD and coil embolization were simultaneously performed in 10 patients(simultaneous treatment),spring coil filling followed by selective staged TFD placement was adopted in 2 patients(staged treatment),and pure TFD placement was employed in one patient.The incidence of perioperative complications was 15.4%(2/13),including asymptomatic ischemic event in one patient and extra-ventricular drainage-related postoperative bleeding in another patient,which caused death of the patient.The median follow-up time was 6.5 months,and 83.3%of patients(10/12)completed cerebral angiography reexamination with DSA.OKM grade D(complete occlusion of the aneurysm)was obtained in 8 patients(80%),and OKM grade C(residual aneurysm neck)in 2 patients.Conclusion For ruptured intracranial aneurysms,TFD implantation is a clinically feasible treatment with favorable safety and efficacy.
关键词
颅内动脉瘤/蛛网膜下腔出血/血流导向装置/血管内治疗/并发症/预后Key words
intracranial aneurysm/subarachnoid hemorrhage/flow diverter/endovascular treatment/complication/prognosis引用本文复制引用
出版年
2024
NETL
NSTL
万方数据