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项圈标志的预测因素及其与管道栓塞后动脉瘤结果的关联
Mira Salih1, Michael Young1, Max Shutran1
1Neurosurgical Service, Beth Israel Deaconess Medical Center Brain Aneurysm Institute, Harvard Medical School, Boston, Massachusetts, USA.
World neurosurgery
|December 17, 2023
概括
项圈标志,表明管道栓塞装置 (PED) 治疗脑动脉瘤后的不完全封闭,由动脉瘤特征如分支血管和圆顶/部比率预测. 之前的治疗也增加了这种血管学发现的可能性.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 血管医学 血管医学
背景情况:
- 项圈标志是管道栓塞装置 (PED) 放置后不完全动脉瘤封闭的血管学指标.
- 了解领标志的预测因子对于优化内动脉瘤治疗结果至关重要.
研究的目的:
- 用PED来确定与使用PED治疗内动脉瘤的患者出现领标志相关的预测因素.
- 为了分析影响不完全封闭的因素,指的是项圈标志.
主要方法:
- 对492名用PED治疗的内动脉瘤患者的单一中心数据的回顾性审查.
- 进行了单变量和多变量分析,以确定项圈标志的预测因素.
主要成果:
- 在492例动脉瘤中,有53例在最初的随访中表现出一个项圈标志.
- 确定的主要预测因素包括动脉瘤的分支血管 (OR,6.23),顶/部比率增加 (OR,4.62),动脉瘤直径 (OR,0.75) 和先前治疗 (OR,未指明但显著).
- 更小的动脉瘤部大小是单变量分析中的预测因素,但不是多变量分析中的预测因素.
结论:
- 分支血管,顶/部比率增加,动脉瘤直径和先前的治疗是领标志的重要预测因素.
- 这些因素对于评估PED治疗后不完全封闭的可能性至关重要.
- 这些发现有助于预测和潜在地管理内血管动脉瘤修复中的领标志.
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