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创伤性中脑膜动脉静脉囊 (MMAVFs):一个探索性的系统性审查

Fernando Terry¹, Evan Luther², Aaron Rodriguez-Calienes³

¹Division of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.

Neurosurgical review

|September 17, 2024

概括

内血管治疗是中脑膜动脉持续动脉静脉囊 (MMAVFs) 的首选治疗方法,与手术或保守管理相比,它提供更高的消灭率和更少的并发症.

科学领域:

神经外科神经外科
干预性放射学干预性放射学
血管外科血管外科

背景情况:

创伤性持续性动脉静脉 (MMAVFs) 通常是由于头部创伤或阳性原因造成的.
管理MMAVF带来了挑战,需要对治疗结果进行比较.

研究的目的:

系统地审查和比较创伤性MMAVFs的保守,内血管和外科治疗方法.
评估术后结果,包括消灭率和并发症.

主要方法:

从多个数据库 (PubMed,Embase,Scopus,Web of Science,Google Scholar) 中对案例报告和案例系列进行系统审查.
包括61项研究与78个聚合的MMAVF,按治疗方式分类.
主要结局:整体消灭率和术后并发症率;次要结局:全因死亡率.

主要成果:

整体消灭率为89.74%. 内血管治疗实现了95.83%的消灭,保守的93.75%,和手术的64.29%.
整体术后并发症率为6.49%. 所有原因的死亡率为8.97%,在手术组 (35.71%) 中最高.
内血管治疗显示出更高的消灭率和更好的安全性.

结论:

创伤性MMAVF的管理是复杂的,通常与头部受伤有关.
内血管治疗是主要的治疗方法,显示出更高的消灭率,更低的死亡率和更少的并发症.
本综述支持对创伤性MMAVFs的内血管方法.

关键词:

脑创伤是什么意思菲斯托拉: 菲斯托拉是一种.这种药物具有阳性性.脑膜动脉是指脑膜动脉的动脉.

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