用流量转换器治疗的眼部段动脉瘤患者的视觉发病率:双中心体验
Bennett R Levy1, Andre Monteiro2,3, Kunal P Raygor2,3
1George Washington University School of Medicine and Health Sciences, Washington , District of Columbia , USA.
Neurosurgery
|September 18, 2023
概括
对内动脉动脉瘤的流量转移器治疗是安全有效的,视觉并发症的发生率很低. 大多数视觉问题都是暂时的,突出显示了手术的安全性.
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:
- 流量转移器 (FD) 用于内动脉 (ICA) 动脉瘤.
- 由于FDs覆盖眼动脉,存在对视觉发病率的担忧.
研究的目的:
- 评估FD治疗ICA眼部段动脉瘤的临床和血管学结果.
- 具体评估与这种治疗相关的视觉发病率.
主要方法:
- 在美国2个中心 (2010-2022) 用FD治疗的113个动脉瘤的回顾性分析.
- 收集有关患者人口统计,动脉瘤特征和视觉并发症的数据.
主要成果:
- 观察到过渡性视力发病率较低 (例如,视力模糊,双眼视).
- 永久的视觉发病仅发生在0.9%的患者身上.
- 实现了高完全动脉瘤闭塞率 (84.2%).
结论:
- 流量转移是眼部段ICA动脉瘤的安全有效治疗方法.
- 视觉发病率很小,主要是短暂的.
- 在这些复杂的动脉瘤中,FDs提供了有利的结果.
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