血流导向装置治疗颅内大型或巨大型动脉瘤的研究进展

doi:10.3969/j.issn.1673-5765.2021.06.002

摘要/Abstract

摘要： 随着神经介入技术、材料学、计算机模拟技术的发展，以及血流导向装置的产生，新技术新材料使得颅内大型或巨大型动脉瘤的治疗方向发生了转变，由既往针对动脉瘤的治疗转变成重建载瘤动脉血流。目前国内外临床上已应用多种血流导向装置，其安全性和有效性已得到证实。本文主要对颅内大型或巨大型动脉瘤的临床特点，血流导向装置治疗未破裂颅内大型或巨大型动脉瘤的作用机理、临床应用现状及其并发症进行了综述。

文章导读： 本文介绍了血流导向装置治疗未破裂大型或巨大型颅内动脉瘤的作用机理、临床应用研究现状、治疗策
略及其并发症的发生及影响因素等，血流导向装置可能成为未来治疗复杂颅内动脉瘤的新方向。

关键词: 血流导向装置; 大型动脉瘤; 巨大型动脉瘤; 颅内动脉瘤

Abstract: With the development of neurointervention techniques, material science and computer simulation technology, and the application of new generation of flow diverter (FD) devices, these new techniques and materials have changed the direction of treatment for large or giant intracranial aneurysms (LIA/GIA) from the previous treatment for aneurysms to the reconstruction of parent artery. At present, a variety of flow diverter devices have been applied in clinical practice at home and abroad, and their safety and effectiveness have been proved. This article mainly reviewed the clinical feature of LIA or GIA, the mechanism of FD in the treatment of LIA or GIA, current status of clinical application and complications of FD therapy.

Key words: Flow diverter; Large aneurysm; Giant aneurysm; Intracranial aneurysm

胡航, 曹毅, 鲍娟. 血流导向装置治疗颅内大型或巨大型动脉瘤的研究进展[J]. 中国卒中杂志, 2021, 16(06): 538-543.

HU Hang, CAO Yi, BAO Juan. Progress of Flow Diverter Devices in Treatment of Large or Giant Intracranial Aneurysms[J]. Chinese Journal of Stroke, 2021, 16(06): 538-543.

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