动脉瘤隔离与流量转换器治疗后动脉瘤完全封闭有关
Shigeta Fujitani1,2, Wataro Tsuruta3, Arisa Tomioka1,2
1Department of Endovascular Neurosurgery, Toranomon Hospital, Tokyo, Japan.
Clinical neuroradiology
|July 10, 2023
概括
动脉瘤的隔离,即与周围血管的断开,显著地预测了在流量转移器治疗后的完全闭塞. 这一发现对于改善脑动脉瘤治疗结果至关重要.
科学领域:
- 血管外科 血管外科
- 干预性神经放射学 干预性神经放射学
- 医疗器械技术 医疗器械技术
背景情况:
- 流量转移器 (FDs) 治疗动脉瘤,但有时会留下残留的流量,阻碍完全封闭.
- 枝条和残留流与延迟动脉瘤关闭有关.
- 动脉瘤隔离被认为是影响动脉瘤成功封闭的一个因素.
研究的目的:
- 调查动脉瘤隔离是否与FD治疗后的完整动脉瘤封闭有关.
- 确定动脉瘤隔离对成功内血管动脉瘤修复的预测价值.
主要方法:
- 以FDs治疗的80个内动脉动脉瘤的回顾性审查.
- 使用圆束计算断层扫描对动脉瘤隔离的评估.
- 在12个月的血管造影随访时评估动脉瘤封闭.
主要成果:
- 在71%的动脉瘤中实现了完全封闭.
- 孤立的动脉瘤显示完全封闭率显著更高 (91.2%与69.6%相比).
- 动脉瘤隔离是完全闭塞的唯一显著预测因素 (OR 19.38,P=0.007).
结论:
- 动脉瘤隔离是实现完整动脉瘤封闭后FD治疗的重要因素.
- 这一发现可以指导程序技术,以提高治疗效率.
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