诊断脑血管造影和神经干预程序的远程与传统的透射接入:系统性审查和元分析
Atakan Orscelik1, Yigit Can Senol1,2, Hassan Kobeissi1
1Department of Radiology, Mayo Clinic, Rochester, MN, USA.
概括
距离透射动脉接入 (dTRA) 是脑血管造影和神经干预的安全有效替代方案. 这种方法比传统的超辐射访问 (cTRA) 提供了较短的光镜时间和对比度量.
科学领域:
- 干预神经病学 干预神经病学
- 血管外科 血管外科
- 放射学 放射学是指放射学
背景情况:
- 距离跨辐射动脉接入 (dTRA) 正在获得神经血管程序的吸引力.
- 对dTRA和传统的超辐射接入 (cTRA) 的比较对于程序的安全性和有效性至关重要.
研究的目的:
- 评估dTRA与cTRA在脑血管学和神经干预方面的安全性和有效性.
- 为了比较技术成功率,并发症率和程序效率.
主要方法:
- 对回顾性观察性研究进行系统审查和元分析.
- 包括8项研究,包括1477名患者 (546个dTRA,1164个cTRA).
- 主要结果:技术上的成功. 二次结果:访问部位并发症,交叉率,光镜时间,对比度量.
主要成果:
- 在dTRA (95.8%) 和cTRA (91.4%) 之间,技术成功率相似.
- 在访问站点并发症或交叉率方面没有显著差异.
- dTRA与显著缩短的光镜时间 (MD: -0.91分钟) 和较低的对比度 (MD: -8.32毫升) 相关.
结论:
- 远距离跨辐射动脉接入 (dTRA) 是传统跨辐射接入 (cTRA) 的安全有效替代方案.
- 在减少辐射暴露和对比剂使用方面,dTRA提供了潜在的好处.
- 进一步的研究可能会巩固dTRA在神经干预手术中的作用.
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