编织内支架提供的流量转移效应的评估
1Department of Radiology, Hacettepe University School of Medicine, Hacettepe Mh., A.Adnan Saygun Cd., Ankara 06230, Türkiye.
Journal of clinical medicine
|June 27, 2024
概括
编织支架 (BS) 显示出一些动脉瘤的流量转移,优于激光切割支架 (LCS). 然而,它们的效果大约是流量转移器 (FD) 的一半,这表明BS的部分流量转移能力.
科学领域:
- 内血管神经外科手术 血管内血管神经外科
- 脑血管疾病的治疗治疗
- 医疗器械比较 医疗器械比较
背景情况:
- 支架辅助线圈 (SAC) 用于内动脉瘤.
- 不同类型的支架,包括编织支架 (BS),流量转移器 (FD) 和激光切割支架 (LCS),提供不同程度的流量转移.
- 了解这些支架的相对疗效对于最佳治疗选择至关重要.
研究的目的:
- 为了比较编织式支架 (BS) 与支架辅助卷轴程序中的流量转移器 (FD) 和激光切割支架 (LCS) 的流量转移能力.
- 为了确定预测成功动脉瘤堵塞的因素与流量转移效应.
主要方法:
- 对194个用SAC或FD辅助卷曲治疗的状内动脉瘤进行了回顾性分析.
- 动脉瘤闭塞的分类,根据雷蒙德-罗伊得分,将动脉瘤闭塞分为有和没有流量转移效应的组.
- 多变量分析以评估稳定动脉瘤闭塞的预测因素,包括支架类型,动脉瘤大小和部宽度.
主要成果:
- 与激光切割支架 (LCS) 相比,流量转移器 (FD) 和编织支架 (BS) 与稳定的动脉瘤封闭率显著更高.
- 编织式支架 (BS) 显示出流量转移效应大约是流量转移器 (FD) 的一半.
- 动脉瘤大小和FD或BS的使用是稳定闭塞的积极预测指标.
结论:
- 编织式支架 (BS) 提供了可测量的流量转移效应,优于激光切割支架 (LCS).
- 虽然有效,但BS的流量转移能力不如FD那么明显,这表明部分流量转移作用.
- 这些发现支持考虑BS,因为它们在精选的内动脉瘤病例中具有部分流量转移能力.
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