织造EndoBridge (WEB) 设备植入后动脉瘤复发和重新治疗方式:系统性审查和元分析
Hassan Kobeissi1,2, Sherief Ghozy1, Madona Pakkam1
1Department of Radiology, Mayo Clinic, Rochester, MN, USA.
概括
大约10%使用Woven EndoBridge (WEB 装置治疗的宽分支动脉瘤需要重新治疗. 重新治疗是有效的,在WEB治疗的动脉瘤中达到很高的闭塞率.
科学领域:
- 内血管神经外科手术 血管内血管神经外科
- 脑血管疾病管理
背景情况:
- 编织的EndoBridge (WEB) 设备是宽两叉动脉瘤 (WNBA) 的关键治疗方法.
- 在WEB设备治疗后动脉瘤复发需要了解重新治疗策略.
研究的目的:
- 系统地审查和对WNBA最初使用WEB设备治疗的WNBA的重新治疗率和策略进行元分析.
- 评估重新治疗在实现动脉瘤闭塞方面的有效性.
主要方法:
- 在PubMed,Scopus,Embase和Web of Science的系统文献评论.
- 使用随机效应模型进行数据合成,以计算聚合的流行率和置信区间.
- 遵守PRISMA 2020报告准则.
主要成果:
- 包括11项研究,显示整体再治疗率为10.3% (171/1875动脉瘤).
- 支架辅助线圈 (36.7%) 和流量转向器 (18.7%) 是常见的再处理方法.
- 在重新治疗后,在62.8%的动脉瘤中实现了完全闭塞,在26.4%的动脉瘤中实现了充分闭塞.
结论:
- 大约10%的WEB治疗的WNBA需要重新治疗.
- 重复治疗是WEB治疗动脉瘤的成功方法,产生良好的闭塞率.
- 需要进一步的研究来确定动脉瘤复发治疗后动脉瘤复发的预测因子.
关键词:
动脉瘤是一个动脉瘤.WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB WEB编织的EndoBridge可以使用.这是内血管内血管的内血管.进行再处理.宽的子 宽的子相关概念视频
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