在用轮或WEB治疗内动脉瘤后的DWI病变 - 设备是否重要?
Friederike Gärtner1, Tristan Klintz1, Sönke Peters1
1Klinik für Radiologie und Neuroradiologie, Universitätsklinikum Schleswig Holstein, Campus Kiel, Kiel, Germany.
概括
使用Woven EndoBridge (WEB) 装置或Contour神经血管系统治疗脑动脉瘤会导致类似数量的扩散加权成像 (DWI) 病变,这表明这些内血管技术的安全性概况相似.
科学领域:
- 神经学 神经学
- 干预性神经辐射学
- 医疗器械 医疗器械
背景情况:
- 内动脉瘤的内血管治疗是一种常见的程序.
- 扩散权重成像 (DWI) 病变可能发生在术后,可能表明微栓塞.
- 编织EndoBridge (WEB) 设备和轮神经血管系统是用于动脉瘤栓塞的两个设备.
研究的目的:
- 为了比较动脉瘤治疗后DWI病变的发病率,使用WEB 与Contour设备相比.
- 调查设备选择是否影响微栓塞事件的发生.
主要方法:
- 对146名接受选择性动脉瘤治疗的患者进行了回顾性分析.
- 62个用Contour治疗的病例和84个用WEB治疗的病例的比较.
- 干预后的MRI与DWI在五天内检测动脉瘤的血管区域中的病变.
主要成果:
- 在53.2%的Contour病例和42.8%的WEB病例中检测到DWI病变.
- 根据设备类型,DWI损伤发生率没有显著差异.
- 设备更改或重新定位对DWI病变没有显著的影响.
- 在四名患者中出现过渡性神经系统恶化,但DWI病变在出院时没有临床相关性.
结论:
- 使用WEB或Contour设备治疗动脉瘤导致与程序相关的DWI病变的数量相似.
- 在调整了人口统计和技术变量之后,这些发现是一致的.
- 这两种设备在微血栓事件方面表现出相似的安全性.
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