摘要
血流导向装置(flowdiverter,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。
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 remodeting. 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.
作者
陈俊凡
杨新健
刘健
CHEN Jun-Fan;YANG Xin-Jian;LIU Jian(Department of Interventional Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing Neurosurgical Institute,Beijing 100050,China)
出处
《中国卒中杂志》
2018年第10期1050-1056,共7页
Chinese Journal of Stroke
基金
国家重点研发计划(2016YFC1300800)
国家自然科学基金(81220108007,81371315,81471167,81671139)
首都卫生发展科研专项(2018-4-1077)
