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一个单一中心的经验是用支架辅助的绕大部基底尖动脉瘤

Hamed Nejadhamzeeigilani¹, Thierry Buende¹, Nayyar Saleem¹

¹Department of Interventional Neuroradiology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.

The British journal of radiology

|September 3, 2023

概括

支架辅助卷轴是一种安全有效的治疗宽基底尖动脉瘤,编织支架显示出比激光切割支架更好的结果. 这项研究提供了关于这种具有挑战性的神经血管疾病的宝贵数据.

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:

宽喉基底尖动脉瘤带来了重大的治疗挑战.
传统的内血管技术,如支架辅助卷轴,需要进一步的安全性和有效性数据,特别是在后部循环中.

研究的目的:

评估支架辅助卷曲用于宽喉基底尖动脉瘤的临床和放射性结果.
评估这种内血管方法的安全性和有效性.

主要方法:

19名患有宽基底尖动脉瘤的患者 (2010-2020年) 的回顾性审查.
对术后并发症,发病率,死亡率,成像后续和再治疗率的分析.

主要成果:

技术并发症率为11%,没有治疗失败.
与手术相关的综合发病率和死亡率为11%.
81%的患者在平均32个月的随访期内实现了令人满意的闭塞 (RROI或II);11%的患者需要重新治疗,仅限于那些使用激光切割支架治疗的人,而不是编织支架.

结论:

支架辅助卷轴提供了可接受的结果,以挑战宽的底结尾动脉瘤.
与激光切割支架相比,编织支架在这个患者队列中表现出更高的疗效.

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