血流导向装置在颅内动脉瘤治疗中应用的血流动力学研究进展

doi:10.3969/j.issn.1673-5765.2018.10.010

摘要/Abstract

摘要：

血流导向装置（flow diverter，FD）是近年来产生的血管内治疗颅内复杂动脉瘤的新材料。 FD设计是通过改建血流的方式将动脉瘤排除在循环系统之外从而重建载瘤动脉，因此FD为复杂动脉瘤的治疗提供了新的思路和手段。临床报道该治疗方式的动脉瘤完全栓塞率可达90%以上。目前 FD应用逐渐广泛，本文从血流动力学角度出发针对FD的血流导向能力，以及颅内动脉瘤经FD治疗后影响预后的因素进行了总结。

文章导读： 在血流导向装置治疗颅内动脉瘤的临床应用中，许多因素会影响动脉瘤的预后，而血流动力学因素被认为是至关重要的指标。

关键词: 血流导向装置; 颅内动脉瘤; 预后; 血流动力学

Abstract:

Flow diverter (FD) is a kind of new device for endovascular treatment of complex intracranial aneurysms. FD is designed to reconstruct parent artery by removing aneurysms from circulatory system through blood flow remodeling. This concept innovation brings new ideas and methods for treating complex aneurysms. It is reported that the complete occlusion rate of aneurysms using FD could achieve over 90%, so currently the FD application is becoming increasingly wider. This article reviewed that the effect of using FD on hemodynamics in treating intracranial aneurysms, and effect of this treatment approach on outcome of intracranial aneurysms, to provide reference for aneurysms treatment decision-making.

Key words: Flow diverter; Intracranial aneurysms; Prognosis; Hemodynamics

陈俊凡, 杨新健, 刘健. 血流导向装置在颅内动脉瘤治疗中应用的血流动力学研究进展[J]. 中国卒中杂志, 2018, 13(10): 1051-1056.

CHEN Jun-Fan, YANG Xin-Jian, LIU Jian. Influence of Flow Diverter Implantation on Hemodynamics in Intracranial Aneurysms Treatment[J]. Chinese Journal of Stroke, 2018, 13(10): 1051-1056.

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