复发性内动脉瘤的织造内桥装置:系统性审查和元分析
Mohammad Amin Habibi1, Farhang Rashidi2, Mohammad Sadegh Fallahi3
1Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Iran.
The neuroradiology journal
|April 13, 2024
概括
编织的EndoBridge (WEB) 设备在治疗复发性宽内动脉瘤方面表现有前途. 这种内血管治疗在最近的一项分析中显示出有利的闭塞率和低并发症概况.
科学领域:
- 神经外科 神经外科
- 干预性神经辐射学
- 血管神经学 血管神经学
背景情况:
- 复发性内动脉瘤是一个重大的临床挑战.
- 编织EndoBridge (WEB) 设备提供了一个潜在的内血管解决方案.
- 对于这些复杂的案件,有效的管理策略至关重要.
研究的目的:
- 为了评估Woven EndoBridge (WEB) 设备的安全性和有效性.
- 为了评估 WEB 设备在治疗复发性内动脉瘤中的性能.
- 为了综合现有的数据,对这个特定的患者群体的设备结果.
主要方法:
- 在PubMed,Scopus,Embase和Web of Science中进行全面的文献搜索.
- 包括包括至少5名患有重复性内动脉瘤的患者的研究.
- 使用SATA V.17.7进行封闭率和并发症率的聚合分析.
主要成果:
- 分析了五项涉及73名参与者的研究 (平均年龄为52.9-65岁,女性为64.4%).
- 充足的闭塞率为0.80 (95% CI 0.71-0.89);完整的闭塞率为0.39 (95% CI 0.28-0.50).
- 部残留率为0.38 (95% CI 0.27-0.48);报告了0%的周围手术并发症,观察到异质性和出版偏差.
结论:
- 编织EndoBridge (WEB) 设备似乎与有利的结果有关.
- 它为治疗复发性宽内动脉瘤提供了一个可行的选择.
- 进一步的研究可能会澄清其长期有效性和安全性.
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