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在破裂的急性动脉瘤中,支架辅助卷曲的安全性和有效性与辅助技术:一种倾向性得分匹配的队列研究

Ziwei Chen¹, Yanhong Xin², Liang Zou³

¹1Liaoyang Central Hospital Base of Jinzhou Medical University, Liaoyang City, Liaoning Province, China.

Journal of neurosurgery

|September 14, 2023

概括

对于破裂的内动脉瘤 (RIAs) 的支架辅助卷曲 (SAC) 与单独卷曲 (CA) 相比,显示出更好的长期封闭和稳定性. 虽然直接结果相似,但SAC提供了更好的血管成像结果,证明了其安全性和有效性.

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:

破裂的内动脉瘤 (RIAs) 存在重大风险.
支架辅助线圈 (SAC) 是RIAs的另一种治疗方法.
与单独卷轴 (CA) 相比,SAC的安全性和有效性存在担忧.

研究的目的:

评估用于治疗破裂内动脉瘤 (RIAs) 的支架辅助卷曲 (SAC) 的安全性和有效性.
为了比较SAC与单独卷轴 (CA) 的临床和成像结果.

主要方法:

用SAC或CA治疗RIA患者的回顾性分析.
倾向性得分匹配,以平衡患者的特征.
立即和1年随访结果的比较,包括闭塞率,临床结果 (mRS) 和并发症.

主要成果:

在SAC和CA组之间,立即术后闭塞率没有显著差异.
在1年的随访中,SAC显示出明显更高的完全闭塞和稳定率.
与CA相比,SAC的再道化率较低,但改善率也较低.
退院或1年后随访时修改的兰金度量 (mRS) 评分没有显著差异.
在SAC组中,手术期间破裂和血栓形成的发病率较高,尽管在统计学上并不显著.
两组之间与手术相关的死亡率没有显著差异.

结论:

支架辅助线圈 (SAC) 是破裂内动脉瘤 (RIA) 的安全有效治疗方法.
与单独卷曲 (CA) 相比,SAC提供了优异的长期血管成像结果,包括更好的闭塞和稳定性.
虽然像血栓形成这样的并发症在SAC中可能更频繁,但整体临床结果和死亡率是可比的.

关键词:

动脉动脉瘤是一个动脉瘤.线圈线圈是一个线圈.血管内的神经外科手术支架是一种支架.脑下关节下部出血血管疾病血管疾病

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