2010年至2020年的破裂和未破裂动脉瘤治疗趋势:专注于流量转移
Pranav Mirpuri1, Syed I Khalid2, Laura S McGuire2
1Chicago Medical School, Rosalind Franklin School of Medicine and Science, North Chicago, Illinois, USA.
World neurosurgery
|June 29, 2023
概括
流量转移器越来越多地用于治疗脑动脉瘤,特别是未破裂的动脉瘤. 它们用于破裂动脉瘤的应用也大幅增加,这表明在神经外科中越来越多的采用.
科学领域:
- 神经外科 神经外科
- 血管内治疗疗法 血管内疗法
- 脑血管疾病 脑血管疾病
背景情况:
- 流量转向器代表了管理脑动脉瘤的新兴技术.
- 传统的治疗方法包括内血管卷曲和外科剪贴绑定.
研究的目的:
- 分析利用流量转移的趋势与美国在2010-2020年间的卷轴和剪切相比.
- 根据动脉瘤的位置和破裂状态来检查偏好.
主要方法:
- 使用MARINER数据库 (年龄在18岁以上的患者) 的横截面研究.
- 使用了描述性统计和千二测试.
- 分析涵盖了2010年至2020年期间的45542个程序.
主要成果:
- 流量转移的使用在未破裂的动脉瘤中增长最快,在2019-2020年间,破裂病例的使用增加.
- 剪切是中脑动脉动脉瘤的优势;前/后沟通动脉动脉瘤的卷曲和流量转移.
- 美国南部和中西部地区的程序量最高.
结论:
- 流量转移器在破裂和未破裂动脉瘤方面都在获得显著的吸引力.
- 随着适应症的扩大,对安全性和疗效的进一步研究至关重要.
- 预计在神经外科手术中使用流量转移将继续增长.
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