破裂的微小囊状内动脉瘤的内血管卷积:系统性审查和元分析
Hidetoshi Matsukawa1, Atakan Orscelik2, Sameh Samir Elawady2
1Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA; Department of Neurosurgery, Hyogo Medical University, Nishinomiya, Japan.
World neurosurgery
|April 25, 2024
概括
血管内线圈是一种安全有效的治疗破裂的小内动脉瘤 (≤3毫米),显示出有利的长期结果. 支架辅助卷轴提供更高的阻塞率,但具有类似的安全配置文件.
科学领域:
- 神经外科 神经外科
- 干预神经病学 干预神经病学
- 血管神经学 血管神经学
背景情况:
- 对破裂的小囊状内动脉瘤 (IAs) 进行内血管卷膜的安全性和有效性尚未得到充分确立,其尺寸为≤3毫米.
- 由于它们的尺寸,微小的IA在治疗中带来了独特的挑战.
结论:
- 血管内线圈是一种可行的,有效的,安全的治疗破裂的微小的囊性IA,特别是在轻度至中度的亨特和赫斯等级的患者中.
- 与单独卷轴相比,用支架辅助的卷轴显示出完全动脉瘤封闭的可能性更高.
- 线圈和SAC都表现出有利的短期和长期临床结果.
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