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两种技术的长期结果比较,用于脏动脉动脉瘤的栓塞
Nicola Troisi1, Giulia Bertagna1, Francesca Tomei1
1Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
概括
对动脉动脉瘤 (SAA) 的跨导管线圈栓塞是安全有效的. 包装技术和三明治技术都显示出有希望的长期效果,三明治技术显示出无需重新干预的卓越自由.
科学领域:
- 干预性放射学 干预性放射学
- 血管外科 血管外科
- 胃肠病学 胃肠病学
背景情况:
- 动脉动脉瘤 (SAA) 是罕见的,但可能导致严重的并发症.
- 内血管治疗已成为SAA的主要治疗选择.
- 对比不同的栓塞技术对于优化患者的治疗结果至关重要.
研究的目的:
- 评估使用跨导管线圈栓塞治疗SAA的内血管治疗的单中心经验.
- 为了比较SAA的包装与三明治栓塞技术的长期结果.
主要方法:
- 对28名在2010年至2021年期间治疗的非破裂无症状SAA患者的回顾性分析.
- 患者接受了包装 (n=10) 或三明治 (n=18) 线圈栓塞技术的治疗.
- 评估的结果包括技术成功,死亡率,住院,栓塞后综合征,脊髓切除术,囊再输液和重新干预率.
主要成果:
- 100%的技术成功率,没有手术内或30天死亡率.
- 这种三明治技术显示了100%的5年无囊再注射和再干预.
- 包装技术有85.7%的5年无囊再注射和75%的无再干预 (p=0.049).
结论:
- 透导管线圈栓塞是一种安全有效的SAA治疗方法.
- 包装和三明治技术都能产生良好的长期效果.
- 与包装技术相比,三明治技术似乎提供了优越的长期免受重新干预的自由.
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