在内动脉瘤的流量转移器治疗后的结稳定性:系统性审查和元分析
Santiago Ortega-Gutierrez1, Aaron Rodriguez-Calienes2,3, Juan Vivanco-Suarez2
1Departmenf of Neuroloy, Neurosurgery and Radiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA santy-ortega@uiowa.edu.
Journal of neurointerventional surgery
|December 21, 2023
概括
对于内动脉瘤 (IAs) 的流量转移器 (FD) 治疗显示了像鱼口和狭窄等变化的低率. 需要标准化定义,以便对这些FD并发症进行一致的报告.
科学领域:
- 神经内血管外科手术是一种神经内血管手术.
- 医疗器械工程 医疗器械工程
- 干预性神经放射学 干预性神经放射学
背景情况:
- 内动脉瘤 (IAs) 具有重大风险,需要先进的治疗方式.
- 流量转移器 (FD) 设备为IA治疗提供了一种最少的侵入性方法.
- 了解FD设备的行为,特别是变化,对于患者的安全和治疗疗效至关重要.
研究的目的:
- 系统地评估流量转移器 (FD) 治疗内动脉瘤 (IAs) 中变化的发生率.
- 审查和总结FD相关并发症的现有定义.
- 为了确定报告FD变化的标准化中存在的差距.
主要方法:
- 在六个数据库中进行了系统的文献搜索,截至2023年4月.
- 包括的研究集中在使用FD的IA治疗上.
- 分析了四个主要结果指标:鱼口,设备窄,崩和变形.
- 使用随机效应模型汇集数据.
主要成果:
- 分析了48项涉及3572名患者的研究.
- 在39%的研究中,鱼口被定义为鱼口;汇总率为3%.
- 收窄,崩和变形的聚合率分别为7%,1%和1%.
- 对于缩小,崩或变形,没有找到标准化的定义.
结论:
- 对内动脉瘤的流量转移器治疗显示,变化的发生率一般很低.
- 由于没有对FD变化的统一定义,这使得客观结果的比较变得复杂.
- 标准化定义对于评估FD设备性能的未来前性研究至关重要.
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