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一个14卷线圈的有效性,用于在小脑动脉瘤的线圈栓塞中进行框架
Tetsuhiro Higashida1, Takanori Uchida1, Manabu Osakabe1
1Department of Neurosurgery, Nagareyama Central Hospital, Nagareyama, Chiba, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
目标XL线圈在治疗小脑动脉瘤方面表现出有效性,与标准10线圈相比,显示出较高的体积栓塞率和没有再通道.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 血管神经学 血管神经学
背景情况:
- 大脑动脉瘤是致病率和死亡率的重要原因.
- 线圈栓塞是小脑动脉瘤的主要内血管治疗方法.
- 优化用于框架的线圈选择对于成功的栓塞至关重要.
研究的目的:
- 评估14-线圈 (目标XL) 的有效性,用于在线圈内对小脑动脉瘤进行栓塞.
- 在体积栓塞率 (VER) 和再通道率方面,将Target XL框架线圈与标准的10线圈进行比较.
- 评估在这个患者群体中使用Target XL的安全性和可行性.
主要方法:
- 一项回顾性研究比较了46名患有小脑动脉瘤 (<5毫米) 的患者.
- 患者被分为两组:26组接受了10线圈治疗,20组接受了Target XL治疗.
- 关键的结果指标包括VER和再道化率.
主要成果:
- 目标XL框架导致初始框架线圈的平均VER显著更高 (22.6%与17.9%,p=0.03).
- 目标XL组的最终平均VER也明显高 (36.8%对32.0%,p=0.03).
- 目标XL组中没有发生再通道化,而10线圈组中的5个动脉瘤显示了再通道化.
结论:
- 目标XL似乎是安全的和可行的框架小脑动脉瘤.
- 它的使用可能会导致更好的栓塞和减少再通道率.
- 这表明,Target XL可能是实现脑动脉瘤治疗良好结果的宝贵工具.
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