摘要
目的 探讨血流导向装置(flow diverter,FD)治疗血泡样动脉瘤(blood blister-like aneurysms,BBA)的有效性和安全性。方法 回顾性分析2020年1月~2024年12月应用FD治疗13例BBA病人的一般资料、临床表现、影像资料、手术资料和预后等。结果 13例病人共置入13枚FD,手术均成功。术中、术后发生缺血性并发症4例,无出血并发症和手术相关死亡病例。术后3~6个月内完成出院后首次DSA复查,BBA均治愈,支架内轻中度狭窄4例。13例病人术后随访6~18个月,平均(10±3)个月,未发生BBA再次出血。术后6个月随访mRS评分0分12例,2分1例。结论 FD治疗BBA安全有效、预后良好,但缺血并发症不容忽视。
Objective To investigate the efficacy and safety of flow diverter(FD)in the treatment of blood blister-like aneurysms(BBAs).Methods A retrospective analysis was conducted on the clinical data of 13 patient with BBAs treated with FD in our department from January 2020 to december 2024 including general information,clinical manifestations,imaging data,operation data and prognosis,etc.Results 13 FDs were implanted successfully in 13 patients.There were 4 patients with ischemic complications intra-and postoperation.There was no bleeding complication or operation related death.The first DSA follow-up after discharge was completed within 3-6 months after operation,and all BBAs were cured.There were 4 patients of mild to moderate stenosis in the stent.13 patients were followed up for 6-18 months,with an average of(10±3)months and without BBAs bleeding again.6 months after operation,12 patients had mRS score of 0,1 patient had score of 2.Conclusion Treatment of BBAs with flow diverter is safe and effective,and has a good prognosis,but ischemic complications cannot be ignored.
作者
胡胜利
王湛
彭豪
严立冬
杨博文
鲁军体
黄宽明
HU Shengli;WANG Zhan;PENG Hao;YAN Lidong;YANG Bowen;LU Junti;HUANG Kuanming(Department of Cerebrovascular Disease Diagnosis and Treatment Center,Taihe Hospital,Hubei University of Medicine,Hubei,Shiyan 442000,China)
出处
《临床外科杂志》
2025年第11期1151-1154,共4页
Journal of Clinical Surgery
基金
湖北省教育厅中青年人才项目(Q20162107)。
关键词
血流导向装置
血泡样动脉瘤
疗效分析
fow diverter
blood blister-like aneurysms
efficacy analysis
