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脑动静脉畸形栓塞治疗中可解脱微导管的研发与临床应用进展

Recent progress on development and clinical application of detachable microcatheter in the treatment of cerebral A

  • 摘要: 血管内介入治疗已成为脑动静脉畸形(AVM)的主要治疗手段。除了液体栓塞材料属性的不断完善外,可解脱微导管的研发和临床使用也是介入治疗的一大里程碑。Sonic及Apollo是目前临床上常用的两种可解脱微导管,该两种微导管的结构及解脱方式各有特点。与常规微导管相比,其可解脱性不仅提高了拔管过程的安全性,而且允许更大程度的栓塞材料反流。这有利于栓塞材料在病灶血管巢中充分弥散,以达到更好的治疗效果。

     

    Abstract: Endovascular treatment has become the main treatment of cerebral arteriovenous malformations(AVM). Except of the continuous improvement of liquid embolic materials, the development and application of detachable microcatheter is also a milestone in intervention field. Now Sonic and Apollo microcatheter are commonly used in clinic with their own structure and detachable characteristics. Compared with conventional microcatheter, the detachable characteristic improves the safety of the embolism process, allowing longer reflux distance. This advantage benefits the full dispersion of the liquid material in the lesion to achieve better embolic effect.

     

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