头部和部动脉静脉变异的栓塞:一个系统的审查
Muhammad Hammad Malik1, Mohamed Sobhi Jabal1, Hassan Kobeissi1
1Department of Radiology, Mayo Clinic, Rochester, MN, USA.
概括
血管内栓塞有效地治疗部面部动脉静脉形 (AVM). 与乙醇不同,N-丁烯酸 (NBCA) 和Onyx显示出高治愈率和安全性,这需要对栓塞剂进行进一步研究.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医疗器械 医疗器械
背景情况:
- 宫面动脉静脉形 (AVM) 导致显著的发病率.
- 血管内栓塞是这些病变的关键治疗方式.
- 对于在宫面膜动脉瘤治疗中使用的不同栓塞剂,存在有限的比较数据.
研究的目的:
- 为了比较各种栓塞剂对宫面膜动脉瘤的有效性和安全性.
- 系统地审查有关这些AVM的内血管栓塞结果的现有文献.
主要方法:
- 在主要数据库 (MEDLINE,EMBASE,Cochrane,Scopus,Web of Science) 进行系统的文献搜索.
- 包括报告宫面腔AVM的内血管治疗的研究.
- 对每个栓塞剂的并发症和治愈率的数据提取.
主要成果:
- 分析了11项涉及204名患者的研究.
- 总体而言,完全和部分治愈率分别为62.2%和36.2%.
- 完整治愈率:n-丁烯酸 (NBCA) 87.5%,金 80.5%,乙醇 51.5%,5% 的情况.
- 并发症的发生率:乙醇33%,奥尼克斯14%,NBCA0%.
结论:
- 血管内栓塞是宫面腔AVM的可行的治疗方法.
- 奥尼克斯和NBCA表现出高治愈率和有利的安全性.
- 建议进行进一步的研究,以充分阐明栓塞剂的比较疗效.
关键词:
AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM AVM血栓塞栓是什么意思 血栓塞栓是什么意思这是内血管内血管的内血管.形成缺陷的错误形成更多相关视频
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