PipelineTM栓塞装置治疗颅内动脉瘤术后并发症研究进展

近年来颅内动脉瘤血管内治疗发展迅速.新型血流导向装置——PipelineTM栓塞装置(PED)以重建载瘤动脉血流分布为创新,已广泛应用于临床,尤其是治疗颅内复杂动脉瘤取得了良好的临床效果.然而由于其金属覆盖率高,流量转移治疗后出现动脉瘤破裂、自发脑实质出血、分支动脉闭塞等并发症并不少见,且致残致死率较高,临床上须引起足够重视.该文就PED治疗颅内动脉瘤术后并发症研究进展作一综述.

Progress in study on Pipeline embolization device treatment for postoperative complications of intracranial aneurysm

In recent years,endovascular treatment of intracranial aneurysms has been developed rapidly.Pipeline embolization device (PED),which is a novel blood flow guiding device,can creatively reconstruct the blood flow distribution of the aneurysm-bearing artery,and it has been widely employed in clinical practice.Satisfactory curative effect has been achieved by PED for intracranial aneurysms,especially for complex intracranial aneurysms.However,because of its high metal coverage rate,the complications such as aneurysm rupture,spontaneous cerebral parenchymal hemorrhage,branch artery occlusion,etc.are not uncommonly seen in patients after receiving flow divertion treatment,and the mortality rate is higher,to which sufficient attention should be paid by clinicians.This paper aims to make a review on the research progress concerning the postoperative complications of PED in the treatment of intracranial aneurysms.