望远镜式转流器用于治疗脑动脉瘤:指示和结果
Joanna M Roy1, Kareem El Naamani1, Arbaz A Momin1
1Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
World neurosurgery
|September 6, 2024
概括
对于内动脉瘤的望远镜流量转移器 (FD) 显示出更高的闭塞率,但也增加了出血和中风的风险. 融合形形态,较大的动脉瘤高度和管道栓塞装置的使用预测了对望远镜FDs的需求.
科学领域:
- 神经外科 神经外科
- 血管内治疗疗法 血管内疗法
- 脑血管疾病 脑血管疾病
背景情况:
- 流量转移器 (FD) 用于内动脉瘤治疗.
- 关于望远镜式FDs的影响的数据有限.
研究的目的:
- 比较望远镜FD与单个FD的结果.
- 确定望远镜FD在动脉瘤治疗中使用的预测因素.
主要方法:
- 一个前性维护的数据库的回顾性审查.
- 包括因内动脉瘤而使用FD治疗的患者 (2011-2023年).
- 需要望远镜FD和不需要FD的患者之间的比较.
主要成果:
- 85名患者需要望远镜FD;655人没有.
- 望远镜组的出血和中风率更高.
- 望远镜组显示出更高的完全血管造影封闭率.
- 融合形形态,增加动脉瘤高度和管道栓塞装置的使用预测了望远镜.
结论:
- 融合形形态,较大的动脉瘤高度和管道栓塞装置的使用增加了望远镜的几率.
- 望远镜式FD可以实现更高的血管图学阻塞率.
- 望远镜FD对于各种动脉瘤形态是有效的.
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