Endovascular coil embolization tau dhau los ua kev kho mob dav dav rau intracranial aneurysms. Kev txhim kho ntawm cov txheej txheem endovascular thiab cov cuab yeej siv tau ua rau nws tuaj yeem kho txawm tias me me aneurysms nrog kev nyab xeeb thiab ua tau zoo. Kab lus no yuav muab cov ncauj lus kom ntxaws tsom xam ntawm endovascular coil embolization ntawm me me intracranial aneurysms.
Taw qhia
Intracranial aneurysms yog dilations ntawm cov hlab ntsha hauv lub hlwb uas tuaj yeem ua rau muaj teeb meem loj hauv lub paj hlwb, xws li subarachnoid hemorrhage (SAH) thiab mob stroke. Kev kho mob ntawm intracranial aneurysms tau ib txwm koom nrog kev phais clipping, uas yuav tsum tau craniotomy thiab tso cov hlau clip hla lub caj dab aneurysm. Txawm li cas los xij, kev nce qib hauv cov txheej txheem endovascular tau ua rau nws tuaj yeem kho intracranial aneurysms nrog cov txheej txheem ua kom tsawg, xws li coil embolization.
Endovascular Coil Embolization
Endovascular coil embolization suav nrog kev tso cov hlau nyias, hloov tau yooj yim (catheter) los ntawm kev txiav me me hauv puab tais thiab mus rau hauv cov hlab ntsha ntawm lub hlwb raws li kev qhia X-ray. Lub catheter feem ntau yog muab tso rau hauv cov hlab ntsha femoral, coj los ntawm cov hlab ntsha iliac, thiab tom qab ntawd mus rau hauv cov hlab ntsha carotid (ICA) lossis vertebral artery (VA) uas muab ntshav rau lub hlwb.
Thaum lub catheter nce mus txog qhov aneurysm, ib qho embolic kauj yog ntxig los ntawm lub catheter thiab mus rau hauv lub hnab aneurysm. Lub kauj yog ua los ntawm cov mos mos, hlau xaim uas zoo li nws tus kheej mus rau lub contours ntawm lub aneurysm, tsim ib tug ntom mesh uas puv lub aneurysm thiab tiv thaiv cov ntshav ntws mus rau hauv lub hnab. Qee zaum, ib qho stent tuaj yeem muab tso rau ntawm lub kauj los pab txhawb cov phab ntsa ntawm cov hlab ntsha thiab tiv thaiv lub kauj los ntawm cov ntshav ntws.
Endovascular coil Embolization ntawm me me heev aneurysms
Kev siv endovascular coil embolization los kho me me intracranial aneurysms tau dhau los ua ntau dua nyob rau xyoo tas los no. Kev nce qib hauv kev siv tshuab microcatheters, coils, thiab cov duab kos duab tau ua rau nws tuaj yeem kho cov kab mob aneurysms me me li 1-2 hli.
Kev tswj cov aneurysms me me yog qhov nyuaj tshwj xeeb vim lawv feem ntau nyuaj rau pom thiab kho. Txawm li cas los xij, endovascular coil embolization muaj ntau qhov zoo ntawm kev phais mob hauv qhov xwm txheej no. Cov txheej txheem tsis tshua muaj kev cuam tshuam ntau dua li kev phais, tsis tas yuav tsum tau craniotomy, thiab feem ntau muaj lub sijhawm pw hauv tsev kho mob luv dua thiab lub sijhawm rov zoo.
Endovascular coil embolization ntawm me me aneurysms tau pom tias muaj kev nyab xeeb thiab siv tau zoo hauv ntau qhov kev tshawb fawb. Ib txoj kev tshawb fawb luam tawm nyob rau hauv Phau ntawv Journal of NeuroInterventional Surgery soj ntsuam kev nyab xeeb thiab ua tau zoo ntawm endovascular coil embolization nyob rau hauv 80 cov neeg mob uas muaj me me intracranial aneurysms (tsawg dua 3 hli loj). Txoj kev tshawb nrhiav pom tias cov txheej txheem tau ua tiav hauv kev kho 96% ntawm cov hlab ntsha, tsis muaj teeb meem loj lossis tuag hauv 30 hnub ntawm cov txheej txheem.
Lwm txoj kev tshawb fawb luam tawm nyob rau hauv Phau ntawv Journal of Neurosurgery tau soj ntsuam cov txiaj ntsig ntev ntawm cov kab mob endovascular coil embolization hauv 50 cov neeg mob uas muaj cov kab mob me me heev (tsawg dua 5 hli hauv qhov loj) nyob rau lub sijhawm 7- xyoo rov qab. Txoj kev tshawb nrhiav pom tias cov txheej txheem muaj kev nyab xeeb thiab siv tau zoo, nrog 92% ntawm cov kab mob aneurysms kho tau zoo thiab tsis muaj kev rov tshwm sim lossis teeb meem loj thaum lub sijhawm ua raws.
Xaus
Endovascular coil embolization yog ib qho kev nyab xeeb thiab kev kho mob zoo rau cov me me intracranial aneurysms. Kev tsim kho thev naus laus zis hauv microcatheters, coils, thiab cov duab kos duab tau ua rau nws muaj peev xwm kho cov kab mob aneurysms me me li 1-2 hli qhov loj nrog qib siab ntawm kev nyab xeeb thiab ua tau zoo. Cov txheej txheem muaj ntau yam zoo dua li kev phais clipping, suav nrog kev cuam tshuam tsawg dua, nyob hauv tsev kho mob luv dua, thiab lub sijhawm rov qab sai dua. Nrog rau kev xaiv tus neeg mob kom zoo thiab ua tib zoo saib xyuas cov txheej txheem nthuav dav, endovascular coil embolization tuaj yeem yog qhov kev xaiv kho tau zoo rau cov neeg mob uas muaj qhov mob me me heev.