儿科人口中复杂血管病理的内血管治疗:来自与双重培训的神经外科医生中心的经验
Brianna M Donnelly1, Andre Monteiro1, Matthew J Recker1
1Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA.
World neurosurgery
|July 4, 2024
概括
针对儿科血管疾病的内血管治疗是安全有效的. 这项研究审查了55名儿科患者,证明了低并发症率和神经干预程序的成功结果.
科学领域:
- 儿科神经外科 儿科神经外科
- 血管神经学 血管神经学
- 干预性放射学是干预性的放射学.
背景情况:
- 儿科血管病理往往需要内血管治疗.
- 这种治疗通常由非儿科专家使用适应成人技术进行.
- 需要评估这些适应方法在儿童中的安全性和有效性.
研究的目的:
- 报告一个单一中心对儿科血管病理的内血管治疗的经验.
- 评估这些干预措施在儿科患者群体中的安全性和结果.
主要方法:
- 一个内血管数据库的回顾性审查.
- 包括所有18岁或更年轻的患者,在2004年1月1日至2022年12月1日期间接受内血管治疗.
- 对程序数据和患者结果的分析.
主要成果:
- 在55名儿科患者中进行了118次干预性脑血管图.
- 常见的疾病包括动脉静脉形 (38.2%),内动脉瘤 (14.5%) 和加伦静脉形 (14.5%).
- 观察到的并发症率较低:1.7%的访问现场,2.5%的程序内和1.7%的过渡性神经学缺陷. 与治疗相关的死亡率为1.8%.
结论:
- 儿科患者的内血管治疗是安全有效的.
- 该中心的经验支持了神经干预技术在儿童中的成功应用.
- 进一步的研究可以建立在这些发现的基础上,以优化儿科血管护理.
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