内动脉瘤的位置特异性破裂风险:眼动脉瘤的情况
Pierre-Marie Chiaroni1, Xavier Guerra1,2, Jonathan Cortese3
1Department of Neuroradiology, University Hospital Pitié Salpêtrière, Paris, France.
Journal of neurointerventional surgery
|October 5, 2023
概括
眼睛动脉瘤与其他内部位相比,破裂风险明显较低. 这一发现表明需要重新评估眼睛动脉瘤的预防性治疗决策.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 放射学 放射学是一门学科.
背景情况:
- 动脉瘤的位置对于预测内动脉瘤破裂风险至关重要.
- 眼动脉瘤在破裂的内动脉瘤 (RIA) 中被认为是不足的.
研究的目的:
- 评估眼动脉瘤破裂风险与其他内动脉瘤位置相比.
主要方法:
- 一项多中心研究比较了2021年1月至3月期间潜在的RIA和回顾性未破裂的内动脉瘤 (UIA) 中的眼睛动脉瘤频率.
- 分析了来自13个神经放射学中心的数据.
主要成果:
- 这项研究包括604例动脉瘤 (355例UIA,249例RIA).
- 眼动脉瘤占UIA的14.9%,但仅占RIA的1.2% (OR 0.07;P<0.0001).
- 破裂的动脉瘤比未破裂的动脉瘤更大,形状更为不规则.
结论:
- 眼动脉瘤的破裂风险与其他内部位相比显著较低.
- 这表明,需要重新评估眼动脉瘤预防治疗的益处风险比率.
关键词:
动脉瘤是一个动脉瘤.相关概念视频
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