流量转移后的质量效应对于未破裂的大型和巨型洞穴或类状内部动脉动脉瘤
Eunji Moon1, Wonhyoung Park1, Yunsun Song2
1Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
World neurosurgery
|September 10, 2023
概括
流量转移器可以缓解大内动脉瘤的压缩症状. 动脉瘤在3个月内缩小和症状持续时间缩短预测了有利的结果,强调了及时治疗的重要性.
科学领域:
- 神经学 神经学
- 干预性神经辐射学
- 血管外科 血管外科
背景情况:
- 大型或巨型内动脉瘤往往会引起大规模效应,对传统的内血管治疗构成挑战.
- 症状来自动脉瘤压缩,影响神经功能.
研究的目的:
- 调查流量转移器在缓解大/巨型内动脉瘤的质量效应方面的有效性.
- 确定流量转移器治疗后导致症状改善的因素.
主要方法:
- 在2014年1月至2022年2月期间,对53名大/巨型未破裂的内动脉瘤患者进行了回顾性评估,这些患者接受了流量转移器治疗.
- 对治疗前后成像 (MRI) 和临床结果的分析,重点是动脉瘤大小的减少和症状的解决.
主要成果:
- 最初,51.9%的患者有症状,出现视神经病变和神经等疾病.
- 在3个月的随访MRI中,动脉瘤大小的减少与症状的改善有显著的相关性 (P <0.05).
- 手术后的血栓形成没有显著预测症状改善 (P = 0.343).
结论:
- 流量转移器显示出缓解大/巨型内动脉瘤引起的压缩症状的潜力.
- 动脉瘤在3个月内缩小和症状持续时间缩短是有利结果的关键因素.
- 及时治疗对于改善症状性内动脉动脉瘤的结果至关重要.
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