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颅内动脉瘤介入围术期血栓的研究进展

作者 / Author:石光玉 任登鹏

颅内动脉瘤介入围术期血栓的研究进展
石光玉1) 任登鹏2)
1)长治医学院研究生处,山西 长治 046000 2)山西医科大学附属运城市中心医院,山西
运城 044000
通信作者:任登鹏
摘要】 颅内动脉瘤是先天遗传或后天获得性因素作用下,动脉壁内弹力层破坏导致颅内动脉壁向外病理性膨出形成的瘤样结构。颅内动脉瘤的治疗主要包括显微外科夹闭和血管内介入栓塞术。随着介入医学技术不断发展,颅内动脉瘤血管内介入为主流治疗方法,相较显微外科夹闭,适应范围广、创伤小、恢复迅速,但仍然存在围术期血栓的可能。本文就颅内动脉瘤介入围术期血栓形成机制、预防和无创监测做综述
关键词】 颅内动脉瘤;介入;围术期;血栓形成
中图分类号
R739.41 文献标识码 A 文章编号 1673-5110 (2022) 08-1041-06
DOI:10.12083/SYSJ.220672
 
Advances in perioperative thrombosis in intracranial aneurysm intervention
SHI Guangyu1) ,REN Dengpeng2)
1)Graduate Office,Changzhi Medical College,Changzhi 046000,China;
2)Affiliated Yuncheng Central Hospital,Shanxi Medical University,Yuncheng 044000,China
Corresponding author:REN Dengpeng
Abstract】 Intracranial aneurysms are tumor-like structures formed when the elastic layer within the arterial wall is disrupted by congenital genetic or acquired factors, resulting in pathological outward expansion of the intracranial arterial wall. The treatment of intracranial aneurysms mainly includes microsurgical clipping and endovascular interventional embolization. With the continuous development of interventional medicine technology, endovascular intervention for intracranial aneurysm is the mainstream treatment method, which is more adaptable, less traumatic and faster recovery than microsurgical clipping, but the possibility of perioperative thrombosis still exists. In this paper, we review the mechanism of perioperative thrombosis, prevention and noninvasive monitoring of intracranial aneurysm interventions
Key words】 Intracranial aneurysm;Intervention;Perioperative period;Thrombosis

 

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