摘要
颅内动脉瘤发生占总人口的1-5%,且被称为定时炸弹,它可以在任何时间发生且造成严重的危害,包括永久性残疾和死亡。对于这种疾病有两种常用的治疗方案:血管内弹簧圈栓塞治疗和手术切除。最近几年,其他的一些有潜力的治疗方法也一直在开发和测试,例如行支架植入加弹簧圈栓塞治疗、流体转移设备和缟玛瑙栓塞剂。这篇研究综述表明血管内栓塞治疗是最常用的治疗方法,且尽管研究表明了它们的安全性和有效性,对新技术的使用仍然有所保留。因此,越来越清楚的发现一个称职的管理系统应该被发展,为了有效地诊断和治疗颅内动脉瘤,即要选择最适合患者体质和血管瘤的治疗方案。这样的一个开发方法可能需要通过纳米技术和智能材料的进步来实现。神经外科,像许多其他医学领域一样,基于纳米材料的技术方向正朝着采用令人兴奋的和快速的发展,例如纳米方法用于检测和治疗颅内动脉瘤可以提供更为侵入性或者在显微神经外科手术层次的手术机会。
关键词: 剪裁,栓塞,颅内动脉瘤,纳米医学,纳米神经外科,纳米技术
Current Medicinal Chemistry
Title:Intracranial Aneurysms; In Need of Early Diagnostic and Treatment Using Bio- and Nanotechnology
Volume: 21 Issue: 37
Author(s): Shima Salmasi and Alexander Marcus Seifalian
Affiliation:
关键词: 剪裁,栓塞,颅内动脉瘤,纳米医学,纳米神经外科,纳米技术
摘要: Intracranial aneurysms are present in 1-5% of population and can be described as “ticking time bombs” that can go off at any time and cause serious harms including permanent disability and death. There are two routinely practiced treatment options for this disease; endovascular coiling and surgical clipping. In recent years other promising methods, such as stent-assisted coiling, flow diverting devices and Onyx embolic agent, have also been developed and tested. The studies reviewed here suggest endovascular coiling to be the most commonly chosen treatment method and that there are reservations on using the newly developed techniques, despite studies suggesting their safety and effectiveness. Therefore, it is now becoming clear that a competent management system, in which treatment methods are chosen to best fit the characterisation of the patient and the aneurysm, should be developed in order to effectively diagnose and treat intracranial aneurysms. One way to develop such a system could be through the advancements of nanotechnology and smart materials. Neurosurgery, like many other areas of the medical field, is moving towards adopting the exciting and rapidly developing technologies based on nanomaterials as the nano-approach to detect and treat intracranial aneurysms could offer surgical opportunities that were more invasive or out of rich at the microneurosurgery level.
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Cite this article as:
Salmasi Shima and Seifalian Marcus Alexander, Intracranial Aneurysms; In Need of Early Diagnostic and Treatment Using Bio- and Nanotechnology, Current Medicinal Chemistry 2014; 21 (37) . https://dx.doi.org/10.2174/0929867321666140716103921
DOI https://dx.doi.org/10.2174/0929867321666140716103921 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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