...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Neurosurgical focus >Endovascular treatment of blister aneurysms
【24h】

Endovascular treatment of blister aneurysms

机译：疱状动脉瘤的血管内治疗

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Blister aneurysms are rare cerebrovascular lesions for which the treatment methods are reviewed here, with a focus on endovascular options. The reported pathogenesis of blister aneurysms varies, and hemodynamic stress, arterial dissection, and arteriosclerotic ulceration have all been described. There is consensus on the excessive fragility of blister aneurysms and their parent vessels, which makes clipping technically difficult. Open surgical treatment is associated with high rates of complications, morbidity, and mortality; endovascular treatment is a promising alternative. Among endovascular treatment options, deconstructive treatment has been associated with higher morbidity compared with reconstructive methods such as direct embolization, stent- or balloon-assisted direct embolization, stent monotherapy, and flow diversion. Flow diversion has been associated with higher technical success rates and similar clinical outcomes compared with non–flow diverting treatment methods. However, delayed aneurysm occlusion and the need for antiplatelet therapy are potential drawbacks to flow diversion that must be considered when choosing among treatment methods for blister aneurysms.
机译：疱状动脉瘤是罕见的脑血管病变，此处将对其治疗方法进行综述，重点是血管内治疗。报道的水疱性动脉瘤的发病机理各不相同，并且已经描述了血流动力学压力，动脉夹层和动脉硬化性溃疡。对于水疱动脉瘤及其亲代血管的过度脆弱性已达成共识，这在技术上使剪裁困难。开放式手术治疗会带来较高的并发症，发病率和死亡率。血管内治疗是一种有前途的替代方法。在血管内治疗方案中，与重建方法（例如直接栓塞，支架或球囊辅助直接栓塞，支架单一疗法和血流转移）相比，解构治疗与更高的发病率相关。与非分流治疗方法相比，分流与更高的技术成功率和相似的临床结果相关。然而，延迟的动脉瘤闭塞和抗血小板治疗的需求是分流的潜在缺陷，在选择用于水疱性动脉瘤的治疗方法时必须考虑这些问题。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号