非洞穴硬性动脉静脉囊 (dAVFs) 的透静脉栓塞:一个系统的审查和元分析
Jaims Lim1,2, Brianna M Donnelly3, Vinay Jaikumar1,2
1Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
概括
透静脉栓塞 (TVE) 有效地治疗内持续性动脉静脉囊 (dAVFs),实现高消灭率. 这一系统审查和元分析证实了TVE的说法.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 内持续性动脉静脉囊 (dAVFs) 涉及硬质体内的异常连接.
- 治疗选择包括手术,内血管干预和放射性手术.
- 通过静脉栓塞 (TVE) 首选用于带-洞穴,但其用于非洞穴dAVFs需要进一步评估.
研究的目的:
- 系统地审查和对TVE在治疗非洞穴性dAVF中的有效性进行元分析.
- 评估与dAVFsTVE相关的结果和技术的变化.
- 为此患者群体提供TVE有效性和安全性的全面分析.
主要方法:
- 在PubMed和Embase数据库中进行了系统的搜索,直到2022年12月.
- 包括18岁以上患者TVE的英语研究.
- 分析的数据包括程序细节,结果和并发症.
主要成果:
- 包括15项追溯研究,涉及166名患者.
- 在最终的血管造影随访时,完全消灭率达到94.9%.
- 在95%的患者中观察到症状改善,并发症率因手术阶段而异.
结论:
- 在非洞穴的dAVF中,TVE显示了高的完全消灭率 (>90%).
- 这些发现支持TVE作为一种有效的治疗方式.
- 建议进行进一步的大型,前性,多中心研究,以巩固TVE的作用.
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