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Sara Sciacca¹, Ahmed Bassiouny^2,3, Nina Mansoor²

¹Department of Neuroradiology, King's College Hospital, London, UK. sara.sciacca@nhs.net.

Clinical neuroradiology

|June 28, 2023

概括

修改后的Pipeline Vantage栓塞装置在治疗脑动脉瘤方面显示出有前途的安全性和有效性. 阻塞率和并发症概况与早期的流量转移装置相似.

科学领域:

内血管神经外科手术血管内血管神经外科
脑血管疾病管理的管理
医疗器械创新医疗器械创新

背景情况:

带有盾牌技术的管道风险栓塞装置是第四代流量转移器.
2020年首次发布之后,由于手术内并发症,随后进行了修改.

研究的目的:

为了评估修改后的管道风口栓塞装置的安全性和有效性.
评估破裂和未破裂的大脑动脉瘤的结果.

主要方法:

多中心回顾性研究.
主要终点:动脉瘤封闭率和神经疾病/死亡率.
包括52次手术60个动脉瘤,其中5例是动脉瘤破裂.

主要成果:

98%的技术成功率.
对于未破裂的动脉瘤:0例死亡,6.4%重大并发症,13%轻微并发症.
对于破裂动脉瘤:20%的死亡率,40%的重大并发症.
在平均6.6个月的随访期间,有83%的动脉瘤充足封闭 (RROC1/2) .

结论:

修改后的设备的安全性和有效性与以前的流量转移器代相比.
设备修改似乎可以提高部署的方便性.
非行业赞助的研究提供了真实世界的结果数据.

关键词:

大脑动脉瘤是如何发生的卷轴的卷轴是指卷轴上的卷轴.数字减去血管学图.栓塞装置是一种栓塞装置.血管内治疗血管内治疗

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