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在跨动脉重血管化中,手术内神经监测的诊断准确性

Cinira Diogo^1,2, Doohwan Na², Nanthiya Sujijantarat³

¹Physiology and Neurobiology, University of Connecticut, Storrs, Connecticut, USA ciniraa.diogo@gmail.com.

Journal of neurointerventional surgery

|February 20, 2024

概括

在跨动脉复血管化 (TCAR) 期间的手术内神经监测 (IONM) 可以准确预测患者的结果. 解决的IONM警报与与没有警报相似的神经结果相关,突出IONM.

科学领域:

血管外科血管外科
神经学神经学
医疗器械医疗器械

背景情况:

穿动脉复血管化 (TCAR) 是一种日益增长的动脉支架替代方案.
术内神经监测 (IONM),包括脑电图 (EEG) 和体感觉唤起潜能 (SSEP),在TCAR期间经常使用.
有限的数据存在于TCAR程序期间IONM的诊断准确性.

研究的目的:

为了评估TCAR期间IONM的诊断准确性.
确定IONM警报与术后神经结果之间的相关性.

主要方法:

对TCAR程序的多机构IONM数据库的回顾性审查 (n=516).
分析显著的EEG/SSEP变化,手术干预,警报解决和神经结果.
对IONM警报的灵敏度,特异性和预测值的计算.

主要成果:

在手术期间出现新的神经系统缺陷的发生率很低 (0.4%).
显著的IONM警报发生在5.4%的病例中,78.5%的病例在干预后消失.
在预测结果方面,IONM表现出高灵敏度 (100%) 和特异性 (99.2%). 负预测值为100%.

结论:

在TCAR期间的IONM是高度敏感和特定的,用于预测术后的神经状态.
患有IONM警报消失的患者经历的结果与没有警报的患者相似.
在TCAR期间,IONM作为指导干预和确保患者安全的宝贵工具.

关键词:

图像扫描血管学 CT血管学这是一个EEGEEGEEGEEGEEG.唤起的潜力,体感的潜力.支架是一种支架.一次性中风,中风.

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