Neurological Surgery 脳神経外科49巻1号

2021年01月発行

特集 脳動脈瘤—Q ＆ Aで学ぶ開頭術，血管内治療のコツと使い分け Ⅳ脳動脈瘤治療の使い分け—現状と未来

脳動脈瘤治療の未来

著者： 金子直樹¹ 立嶋智¹

所属機関： ¹ロナルドレーガンUCLAメディカルセンター

ページ範囲：P.164 - P.169

Point
・現在，脳動脈瘤の薬物治療は確立されていないが，破裂には炎症が強くかかわっていることが示唆され，スタチンやアスピリンに注目が向けられている．
・近年登場した新規デバイス（フローダイバーター，W-EB，PulseRider）により，血管内治療の適応はさらに拡大しつつある．
・ロボット支援技術が血管内治療で応用され始めている．放射線被曝の低減だけでなく，将来的には自動化による安全性向上，遠隔治療などの可能性も秘めている．

参考文献

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