使用管道栓塞装置治疗内脊椎动脉剖析动脉瘤的治疗:一个多中心队列研究
Ying Zhang1,2, Fujunhui Zhang3,4, Mirzat Turhon3,4
1Department of Interventional Neuroradiology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China. yingzhang829@163.com.
Clinical neuroradiology
|June 28, 2023
概括
管道栓塞装置 (PED) 显示出治疗内脊椎动脉剖析动脉瘤 (IVADA) 的前景,实现高阻塞率. 然而,潜在的并发症需要在治疗期间仔细考虑.
科学领域:
- 神经外科 神经外科
- 干预性神经辐射学
- 血管神经学 血管神经学
背景情况:
- 内椎动脉剖析动脉瘤 (IVADA) 是一种罕见的疾病,具有重大风险.
- 管道栓塞装置 (PED) 越来越多地用于复杂的血管病变.
- 对于IVADA的PED的疗效和安全性需要进一步研究.
研究的目的:
- 评估PEDs在治疗IVADA中的安全性和有效性.
- 分析程序结果,包括闭塞率和并发症.
- 评估PED治疗对后下大脑动脉 (PICA) 的影响.
主要方法:
- 对中国14个中心 (2014-2019) 的PLUS数据库的回顾性审查.
- 分析患者和动脉瘤特征,手术细节和随访数据.
- 对血管学和临床结果的评估,包括PICA通透性和并发症.
主要成果:
- 52名患者接受了PED治疗;平均年龄为52.33岁,82.7%是男性.
- 高完全闭塞率 (93.8%),没有复发或静脉支架狭窄,随访时间平均为10.5个月.
- 手术后并发症率为11.5% (包括中风),死亡率为1.9%;PICA参与倾向于出现更多的并发症.
结论:
- 药物是一种潜在的安全和有效的IVADA治疗方法,产生了良好的结果.
- 仔细监测与PED治疗相关的并发症是必不可少的.
- 进一步的研究可能会完善使用PED的IVADA治疗策略和患者选择.
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