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织造Endo桥的形状修改有助于减少在织造Endo桥植入后适当的闭塞率,用于宽分叉内动脉瘤

Takashi Fujii¹, Kohsuke Teranishi², Takayuki Kitamura²

¹Department of Neuroendovascular Therapy, Juntendo University, Graduate School of Medicine, Tokyo, Japan.

The neuroradiology journal

|October 30, 2023

概括

织成的Endo Bridge (WEB) 装置植入用于宽分叉内动脉瘤,实现了75.9%的充分封闭. 形状修改是影响非遮蔽的唯一因素,需要进一步调查以改善结果.

科学领域:

神经外科神经外科
干预性神经辐射学
医疗器械医疗器械

背景情况:

宽分叉内动脉瘤 (WNBAs) 带来了治疗方面的挑战.
编织的Endo桥 (WEB) 设备为WNBA提供了一个新的内血管解决方案.
评估影响器械疗效的因素对于优化患者治疗结果至关重要.

研究的目的:

为了确定与足够的遮 (AO) 相关的放射性因素,在WNBAs的设备植入后.
为了评估WEB设备在治疗WNBA的安全性和有效性.
通过详细的成像分析来确定成功动脉瘤堵塞的预测因素.

主要方法:

对29名WNBA患者的回顾性分析,这些患者接受了WEB设备植入治疗.
实现AO的患者和非AO的患者之间的放射性参数的比较.
多变量分析以确定对AO有重大贡献因素.

主要成果:

在6个月的随访后,75.9%的患者实现了充分的闭塞 (AO).
并发症不常见 (6.9%) 并没有显著改变功能状态 (mRS).
形状修饰 (WSM) 是唯一与非AO相关的统计学显著因素 (OR:0.912,p=0.0287).

结论:

设备植入是WNBAs的一个有效和安全的治疗方法.
形状的改变是影响治疗成功的关键因素.
需要进一步的研究来理解和减轻WSM以改善AO率.

关键词:

内动脉瘤是一个内动脉瘤.编织的恩多桥编织的恩多桥编织的Endo桥的形状修改修改流动干扰器是一种流动干扰器.

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