摘要
自血流导向装置应用于临床以来,各医疗中心对于未破裂颅内动脉瘤的血流导向装置植入术多采用全身麻醉方式。本研究报道1例60岁女性右侧颈内动脉海绵窦段巨大动脉瘤患者在局部麻醉下成功行Pipeline血流导向装置植入术的治疗案例。手术过程顺利,患者术中神经功能状态稳定,术后未发生相关并发症。本研究证实,局部麻醉下Pipeline血流导向装置植入术具有临床可行性,这为颅内动脉瘤的介入治疗提供了新的麻醉选择方案。
Since the introduction of flow-diverter into clinical practice,most medical centers have performed flow-diverter implantation for unruptured intracranial aneurysms under general anesthesia.This paper reports the successful treatment of a 60-year-old female patient with a giant unruptured cavernous segment internal carotid artery aneurysm using pipeline embolization device under local anesthesia.The procedure was completed without complications,with the patient maintaining stable neurological status throughout the surgery.This case demonstrates the clinical feasibility of pipeline device implantation under local anesthesia,offering an alternative anesthetic approach for the endovascular treatment of intracranial aneurysms.
作者
董灵根
吕明
Dong Linggen;Lv Ming(Beijing Neurosurgical Institute,Capital Medical University,Beijing 100071,China;Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100071,China)
