在异常性内高血压中进行心室-心房分流
Sheikh M B Momin1,2, Sophie R Mullins3, Claudia L Craven3,4
1Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK. s.m.b.momin@bham.ac.uk.
Acta neurochirurgica
|February 22, 2024
概括
室腔-心房分流提供了一个安全的替代方案,用于转移脑脊液在异常性内高血压. 这项研究发现VA突变是有效的,对IIH患者的修订率较低.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 眼科医生 眼科 眼科
背景情况:
- 脑脊液 (CSF) 的转移对于治疗异常性内高血压 (IIH) 至关重要,特别是在危及视力的乳头膜炎.
- 虽然腹腔关节和腹腔关节的分流是常见的,但腹腔关节 (VA) 的分流也被使用.
研究的目的:
- 为了评估在被诊断患有异常性内高血压的患者中使用心室-心房分流的单中心经验.
- 评估VA变流作为IIH中CSF转移方法的安全性和有效性.
主要方法:
- 追溯案例系列分析了10年时间内的电子医疗记录.
- 包括的患者接受了IIH的VA分流插入;排除标准涉及其他指示,儿科患者或非VA分流程序.
- 收集的数据包括人口统计数据,分流存活率和修订原因.
主要成果:
- 在6名成年患者 (平均年龄34岁) 进行了8次VA分流手术,平均随访时间为58个月.
- 所有VA分流都是次要的程序,与VPleural分流 (58.3%) 相比,分流的生存率很高 (50个月后为75%).
- 复查不常见,只有一个特定于VA分流的并发症 (远程血栓);一个内出血也需要复查.
结论:
- 腹腔-心房突变 represent一个安全和有效的替代方案,用于CSF转移在管理异常性内高血压.
- 该研究表明,在IIH队列中,VA分流的生存率有利,并发症率低.
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