超速发展的安全性和有效性评估 (SEASE):市场上市后的国际多中心研究
Juan Vivanco-Suarez1, Mahmoud Dibas1, Demetrius Klee Lopes2
1Department of Neurology, Neurosurgery & Radiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Journal of neurointerventional surgery
|April 25, 2024
概括
超越进化 (SE) 流量转移器在治疗内动脉瘤 (IA) 中表现出高效,完全封闭率为73%. 这项研究证实了其在现实国际使用中有利的安全概况.
科学领域:
- 内血管神经外科手术 血管内血管神经外科
- 脑血管疾病管理的管理
- 医疗器械技术 医疗器械技术
背景情况:
- 内动脉瘤 (IA) 是发病率和死亡率的重要原因.
- 流量转移器代表了针对特定IA的第一线处理.
- 关于新一代Surpass Evolve (SE) 64线流量转移器的数据有限.
研究的目的:
- 为了评估Surpass Evolve (SE) 流量转移器的安全性和有效性.
- 报告与SE设备的第一个国际现实世界的经验.
- 评估iAs的SE植入后的完全封闭率和主要不良事件.
主要方法:
- 进行了一项多中心,回顾性,国际,营销后队列研究 (SEASE).
- 包括在2020-2022年间连续接受SE治疗的患者.
- 主要终点是动脉瘤完全堵塞 (雷蒙德-罗伊类1) 和重大安全事件 (缺血,出血,死亡率).
主要成果:
- 305名患有332个IA的患者接受了SE治疗.
- 随访时间中位数为10.2个月,完全闭塞率为73.0%.
- 大型中风发生在2%的病例中,与手术相关的死亡率在0.7%的病例中.
结论:
- 超越进化 (SE) 流量转移器在实现内动脉瘤的完全封闭方面表现出高效.
- 苏联表现出良好的安全性,主要缺血事件和死亡率较低.
- 这项研究支持在现实临床实践中使用SE作为内动脉瘤的可靠治疗选择.
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