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气球辅助织造内桥部署 (BAWD):安全性和有效性研究
Anthony Trimboli1, Jason D Wenderoth2,3,4, Andrew K Cheung2,3,5,6
1Medical Imaging Department, Prince of Wales Hospital, Randwick, New South Wales, Australia.
概括
气球辅助部署是治疗内动脉瘤的安全有效方法. 这种技术增强了Woven EndoBridge (WEB 设备在各种动脉瘤类型和位置的实用性.
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:
- 气球辅助部署是一种公认的内动脉瘤线圈栓塞技术.
- 编织EndoBridge (WEB) 设备用于动脉瘤治疗.
- 气球辅助部署可能有助于设备交付.
研究的目的:
- 评估气球辅助网络部署的安全性,有效性和可行性.
- 评估这种技术在破裂和未破裂的内动脉瘤中.
- 分析其在典型和非典型动脉瘤位置的使用.
主要方法:
- 以气球辅助WEB部署 (BAWD) 治疗的患者的回顾性审查.
- 从两个神经干预中心的前性维护数据库中收集的数据.
- 分析包括患者人口统计,动脉瘤特征,手术细节和临床/成像结果.
主要成果:
- 在23名患者 (平均年龄58岁) 中治疗了33例动脉瘤 (64.3%前部循环).
- 15个 (45.5%) 的动脉瘤破裂;12个 (36.4%) 的动脉瘤处于异常位置.
- 与手术相关的死亡率为3.0%;没有永久性发病率. 中期闭塞率为85.2%的完全和92%的充分.
结论:
- 气球辅助的WEB部署是一种安全有效的技术.
- 这种方法可以扩大WEB设备的适用性.
- 建议对BAWD进行进一步的前性研究.
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