Neurological Surgery 脳神経外科51巻2号

2023年03月発行

特集 新時代を迎えた脳血管内治療—文献レビューで学ぶ進歩とトレンド Ⅱ 出血性病変

未破裂脳動脈瘤〈手技とデバイス編〉—未破裂脳動脈瘤に対する新しいデバイス

著者： 大石英則¹

所属機関： ¹順天堂大学大学院医学研究科脳神経血管内治療学講座

ページ範囲：P.213 - P.229

Point
・脳動脈瘤の発生原因は親動脈壁損傷や先天的脆弱性であり，囊状・紡錘状拡張部分の物理的閉塞では根治は得られにくい．
・今後の血管内治療は低侵襲性だけでなく根治性も求められ，親動脈壁に修復機転をもたらすデバイスの開発が求められる．
・フローダイバーターや瘤内フローディスラプターは新生内膜形成を惹起し，親動脈壁に修復機転をもたらすことが期待される．

参考文献

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