脑动脉瘤的流量转移:经过十年的经验,改善了结果和成功的预测因素
Tae Keun Jee1, Je Young Yeon1, Keon Ha Kim2
1Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea.
Brain sciences
|August 29, 2024
概括
脑动脉瘤的流量转移显示出更好的结果,更高的闭塞率和更少的并发症. 影响成功的关键因素包括动脉瘤直径和结合的分支,指导更好的患者选择.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 血管神经学 血管神经学
背景情况:
- 流量转移已经改变了脑动脉瘤管理.
- 技术进步和临床经验改善了治疗结果,并减少了并发症.
- 本研究更新了结果,并分析了影响流量转移成功的因素.
研究的目的:
- 为了提供对内动脉瘤的流量转移的最新结果.
- 为了确定治疗成功和安全的预测因素.
- 为了告知临床实践和患者选择.
主要方法:
- 对115名患有121个内动脉瘤的患者进行了回顾性审查.
- 处理期:2014年7月至2023年8月.
- 在前后循环中包括未破裂的动脉瘤.
主要成果:
- 在72.7%的病例中实现了完整的动脉瘤封闭,并发症率为9.1%.
- 阻塞的预测因素:动脉瘤直径较小,结合的分支较少.
- 最近的治疗显示出更高的闭塞 (79.7%) 和更低的并发症 (4.1%).
结论:
- 改进的技术技能,设备和患者选择提高了流量转移的有效性和安全性.
- 成功和安全结果的预测因素可以指导临床决策.
- 精细的患者选择对于优化流量转移疗法至关重要.
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