治疗结果的比较用线圈栓塞手术治疗破裂脑动脉瘤的治疗结果
Jun Niimi1, Kotaro Ueda2, Daiki Yokoyama1
1Department of Neurosurgery, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
与辅助技术相比,用于破裂脑动脉瘤的单导管技术 (SCT) 显示,症状性脑栓塞的发生率较低. 谨慎的程序选择对于动脉瘤栓塞的最佳患者结果至关重要.
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:
- 破裂的大脑动脉瘤的线圈栓塞带有手术后重裂和血栓栓塞的风险.
- 辅助技术可以改善栓塞状况,但增加并发症风险.
- 对破裂脑动脉瘤的治疗结果进行评估是必不可少的.
研究的目的:
- 调查和比较用于破裂脑动脉瘤的线圈栓塞手术的治疗结果.
- 评估单导管技术 (SCT) 与辅助技术的安全性和有效性.
主要方法:
- 在2016年1月至2019年12月期间治疗的75个破裂的状脑动脉瘤的回顾性分析.
- 背景因素的评估,栓塞结果,手术后复发,以及症状性脑栓塞.
- 根据使用的程序对结果进行比较:单导管技术 (SCT) 与辅助技术.
主要成果:
- 在44个案例中使用SCT (58.7%),在31个案例中使用辅助技术 (41.3%).
- 症状性脑栓塞发生在2.3%的SCT病例中,相对于辅助技术病例的16.1% (p = 0.04).
- 没有观察到术后再突破;仅在三个SCT病例中需要重新治疗.
结论:
- 在破裂的大脑动脉瘤中,单一导管技术 (SCT) 与辅助技术相比,显示症状性脑栓塞的发生率明显较低.
- 了解每个程序的特点对于适当的案例选择至关重要.
- 优化程序选择可以减轻风险,并改善脑动脉瘤线圈栓塞的结果.
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