· Dazhong News reporter Wang Ning Zhang Zun poster Zaozhuang reports
Recently, Zaozhuang City Hospital Neurosurgery completed two cases of intracranial blood flow guide treatment of complex aneurysms, were successful!
Patients, female, 58 years old, “detection of intracranial aneurysms in January,” admitted. DSA (digital subtraction angiography) checks to see giant aneurysms arterial segment clinoid right internal jugular.
The patient, male, 40 years old, “dizziness and found that vertebral artery dissection and a half,” admitted. See right vertebral artery dissection DSA formed.
Zhuangqiang Zaozhuang City Hospital chief of neurosurgery timely organization of general practitioners to discuss, consider clipping surgery or conventional stent assisted coil embolization can not cure these diseases. After evaluating the patient’s condition, decided to uphold the new “blood-oriented” concept, were applied Pipeline Flex and Tubridge blood flow guide treatment.
Surgical deputy director of neurosurgery Qinhao physician, physician implementation Yin Hang, select the appropriate Pipeline and Tubridge stent, precise treatment after stent implantation throughout the visible and stand completely open, well-adherent, after aneurysm contrast agent retention obviously, the parent artery blood flow is normal, to avoid the risk of patients with hemiplegia and aneurysm rupture risk. After surgery anesthesia, patients had no neurological deficits.
Our population prevalence of intracranial aneurysms is approximately 2-7% occur in the elderly. Most unruptured aneurysms lack of specific clinical symptoms, a small headache, ptosis and other symptoms were found. Several studies have shown that the disease occurs with smoking, alcoholism, high blood pressure, gender and other factors. There are craniotomy clipping surgery and endovascular interventional treatment of two methods, intervention compared with a craniotomy to reduce residual death rate, improve clinical outcomes, which established the status of interventional therapy in the treatment of intracranial aneurysms .
The occurrence of aneurysms and the local hemodynamic changes related vascular disease, aneurysm treatment over the target artery aneurysm should be completely isolated from the outside of the blood circulation, blood flow is restored physiological state. Guide means primarily the blood flow through the mesh stent high density slow blood flow within the aneurysm, thereby promoting thrombus formation, so that the aneurysm can be in loose or packed without coil spring ring is completely closed. Meanwhile, a high density by changing the local mesh hemodynamic, blood flow to reduce the impact on the vessel wall, and reduce the recurrence risk of rupture. More importantly, high-density mesh can act as a “scaffolding” role in the repair of endothelial cells. It was observed that, after the device is implanted blood flow guide substantially all of 6 to 12 months endothelialization, thereby promoting healing of the aneurysm neck and parent artery reconstruction, even anatomical cure.
Currently, Pipeline and Tubridge blood flow guide treatment technology has been gradually carried out in international and domestic large center, first of its kind in Zaozhuang City. The successful application of this technology, highlighting the Zaozhuang Municipal Hospital in the treatment of cerebrovascular disease intervention followed the international advanced level, has brought new hope to cure complex intracranial aneurysm patients.