第17講 腦動脈瘤分流術(shù)Flow Diversion for Brain Ane

Flow?diversion?is?a?newer?endovascular?technique?used?to?treat?brain?aneurysms.
分流是更先進(jìn)的用于治療腦動脈瘤的血管內(nèi)技術(shù)。
The?procedure?involves?placing?a?flow-diverting?device?- a?specially?designed?metal?mesh?tube?-?in?the?blood?vessel?adjacent?to?the?aneurysm?to?divert?blood?flow?AWAY?from?the?aneurysm.
這個過程包含放置一個引流裝置,這個裝置是經(jīng)過特殊設(shè)計的金屬網(wǎng)孔管,需要放置在動脈瘤旁引導(dǎo)血液繞開動脈瘤流過。
In?this?procedure, a?catheter?guided?by?a?wire?is?inserted?through?the?femoral?artery?at?the?groin?and?threaded?all?the?way?to?the?affected?brain?artery.
在這個過程中,一根被金屬絲引導(dǎo)的導(dǎo)管從腹股溝的股動脈插入一直穿到受影響的大腦動脈。
The?guide-wire?is?removed.
這根金屬絲可以移除。
A?micro-catheter?carrying?the?flow-diverting?device?is?introduced?inside?the?initial?catheter?and?is?navigated?PAST?the?aneurysm?opening,?without?entering?it.
一種帶有導(dǎo)流裝置的微型導(dǎo)尿管,在最初的導(dǎo)管內(nèi)引入,并通過動脈瘤開口,而不進(jìn)入。
The?device?is?then?deployed?across?the?neck?of?the?aneurysm.
接著將此裝置通過動脈瘤的頸部展開。
The?tube?slows?and?eventually?stops?blood?flow?into?the?aneurysm,?which,?over?time,?is?believed?to?shrink?and?disappear.
這個裝置漸漸地最終阻止血液流入動脈瘤,隨著時間的推移,我們認(rèn)為它可以萎縮消失。
Flow?diversion?is?particularly?useful?for?treatment?of?large?or?wide-neck?aneurysms?where?coiling?may?be?difficult?to?perform.
分流主要用于治療那些線圈治療無效的大的或者頸部寬的動脈瘤。
It?is?also?more?suitable?for?treating?un-ruptured?aneurysms?due?to?the?fact?that?the?device?and?the?catheter?system?do?NOT?need?to?enter?the?aneurysm?itself.
由于該裝置和導(dǎo)管系統(tǒng)不需要進(jìn)入動脈瘤本身,它也更適合治療未破裂的動脈瘤。
This?significantly?reduces?the?risk?of?the?aneurysm?rupturing?during?the?procedure.
它意義重大的減少了治療過程中動脈瘤破裂的風(fēng)險。