Intracranial aneurysm yog ib hom kab mob cerebral vascular, uas tau nyiam ntau yam vim nws yooj yim rupture thiab cerebral hemorrhage. Txhawm rau txo qhov kev pheej hmoo ntawm qog nqaij hlav, cov kws kho mob feem ntau xaiv embolization thiab coil xaiv los kho intracranial aneurysms.
Intracranial aneurysm embolization yog ib txoj kev kho mob feem ntau siv nyob rau hauv lub teb ntawm niaj hnub neurosurgery. Piv nrog rau kev kho mob phais ib txwm, intracranial aneurysm embolization muaj ntau yam zoo. Kev kho phais ib txwm siv feem ntau yuav tsum muaj kev puas tsuaj loj ntawm lub pob txha taub hau, thiab cov hlab ntsha dag siv rau kev sib txuas, uas yog qhov nyuaj heev. Intracranial aneurysm embolization muaj qhov zoo ntawm qhov tsis tshua muaj kev cuam tshuam, rov qab sai, thiab tsis muaj kev cuam tshuam rau kev zoo nkauj sab nraud. Nws tsis cuam tshuam rau lub neej ua haujlwm ntawm cov ntaub so ntswg ib puag ncig thaum kho cov qog, thiab cov nyhuv kho tau zoo heev. Nyob rau tib lub sijhawm, intracranial aneurysm embolization tsis tas yuav siv tshuaj ntev ntev tom qab phais, uas muaj txiaj ntsig zoo heev los txo qhov kev pheej hmoo ntawm qog nqaij hlav.
Ua ntej ua intracranial aneurysm embolization, kev xaiv ntawm coils kuj tseem ceeb heev. Lub kauj yog ib qho hloov pauv hloov pauv uas tuaj yeem hloov nws cov duab ntawm qhov xav tau. Nws tuaj yeem tig thiab txav mus rau hauv cov qog thiab txav nrog kev sib hloov ntawm lub catheter. Yog li ntawd, thaum xaiv lub kauj, ib puag ncig ntawm nws txoj kev nkag mus rau hauv lub qhov tsua nkag yuav tsum tau txiav txim siab tag nrho, suav nrog qhov loj, zoo li, txoj hauj lwm thiab lwm yam ntawm lub qhov tsua.
Tsis tas li ntawd, muaj ntau hom coils, xws li worm-shaped coils, flat coils, kauv coils, thiab lwm yam. Cov kws kho mob yuav tsum xaiv cov coils raws li cov qog sib txawv. Piv txwv li, flat coils yog haum rau ze-coronary artery los yog ruptured stenotic qog. Helical coils yog tsim rau cov qog loj los yog nyuaj. Worm-shaped coils yog tsim rau pob txha taub hau thiab lub cev nqaij daim tawv nqaij.
Lub microcatheter shaping nyob rau hauv intracranial aneurysm interventional embolization yog hloov mus rau vascular morphology nyob rau hauv tej rooj plaub, thiaj li ua tau zoo dua kev phais thiab kev kho mob embolization. Qhov tshwj xeeb microcatheter shaping cov kauj ruam yog raws li nram no:
Xaiv ib lub catheter uas tsim nyog: Xaiv lub microcatheter tsim nyog raws li qhov chaw thiab morphology ntawm tus neeg mob intracranial aneurysm. Lub catheter yuav tsum txaus muag thiab tsim nyog hloov tau.
Kev ntsuas ua ntej: Ua ntej micro catheter shaping, vascular angiography yog thawj zaug uas yuav tsum tau txiav txim siab txog morphology ntawm cov hlab ntsha thiab qhov chaw ntawm qhov txhab. Qhov no pab qhia cov kev ua haujlwm shaping tom ntej.
Micro catheter nkag: Raws li cov morphology ntawm cov hlab ntsha thiab cov txiaj ntsig ntawm kev ntsuas ua ntej, lub microcatheter tau muab tso rau hauv cov hlab ntsha ze rau ntawm qhov aneurysm, thiab lub catheter kawg yuav tsum tau khaws cia rau hauv lub hom phiaj ntawm cov hlab ntsha.
Microcatheter shaping: Thaum lub catheter yog incision, lub catheter yog maj mam shaped mus rau hauv ib tug nkhaus uas adapts rau cov hlab ntsha los ntawm maj mam thawb, rub, tig thiab khoov lub microcatheter. Ua tib zoo saib xyuas lub zog maj mam thoob plaws hauv cov txheej txheem los tiv thaiv kev puas tsuaj rau cov hlab ntsha phab ntsa.
Tom qab angiography: Tom qab ua tiav lub microcatheter shaping, angiography yog ua los xyuas kom meej qhov tseeb ntawm catheter morphology thiab txoj hauj lwm. Yog tias tsim nyog, kev kho lub catheter tuaj yeem hloov kho kom zoo dua rau cov vascular morphology.
Microcatheter shaping thiab coil xaiv hauv intracranial aneurysm embolization yog ib qho tseem ceeb uas txiav txim siab txog kev ua haujlwm. Kev xaiv cov khoom ntim khoom tsim nyog thiab cov coils zoo heev txhim kho qhov ua tau zoo thiab kev nyab xeeb ntawm kev ua haujlwm thiab txo qis kev ua haujlwm ntawm tus kws kho mob. Tsim nyog thiab raug shaping thiab xaiv cov khoom ntim tsim nyog thiab cov coils tuaj yeem txo cov teeb meem thiab kev tawg, thiab ua rau cov neeg mob tau txais kev kho mob zoo dua thiab muaj txiaj ntsig.
Nws ntseeg tau hais tias los ntawm kev kho mob ntawm intracranial aneurysm embolization thiab coil xaiv, kho tus nqi ntawm cov qog yuav zoo tuaj, thiab nws tseem tuaj yeem pab cov neeg mob txo qhov kev pheej hmoo ntawm cov qog rupture, yog li txhim kho cov kev kho mob. Intracranial aneurysm embolization thiab coil xaiv yog ib qho ntawm cov kev kho mob tseem ceeb hauv kev kho mob niaj hnub no. Cov kws kho mob yuav tsum tau npaj txhij thiab ua haujlwm zoo thaum lub sijhawm kho mob los pab cov neeg mob tshem tawm cov teeb meem tshwm sim los ntawm cov qog thiab rov qab kho lawv txoj kev noj qab haus huv.