对于未破裂的内动脉瘤进行FRED X流转向支架:美国多中心的市场后研究
Philipp Hendrix1, Sina Hemmer2, Georgios S Sioutas3
1Department of Neurosurgery, Geisinger, Danville, Pennsylvania, USA hendrix.philipp@gmail.com.
Journal of neurointerventional surgery
|November 4, 2024
概括
流量重定向内膜通道装置 (FRED) X在治疗未破裂的大脑动脉瘤方面显示出有前途的安全性和有效性. 早期的结果表明并发症率低,并有适当的闭塞,尽管需要更长期的数据.
科学领域:
- 神经内血管干预措施 神经内血管干预
- 医疗器械技术 医疗器械技术
- 脑血管疾病 脑血管疾病
背景情况:
- 流量重定向内膜通道装置 (FRED) X是一种用于内动脉瘤的新型流量转移支架.
- 它的表面修改 (X技术) 旨在降低血栓生成性.
- 对于FRED X设备,美国缺乏早期的市场后多中心数据.
研究的目的:
- 评估FRED X设备在美国多中心环境中的安全性和有效性.
- 评估FRED X支架用于未破裂的内动脉瘤的早期临床和血管学结果.
主要方法:
- 在美国四个中心 (2022年3月 - 2024年1月) 连续进行FRED X程序的回顾性分析.
- 排除破裂动脉瘤和额外部部位.
- 评估患者/动脉瘤特征,抗血栓治疗,安全事件和结果.
主要成果:
- 101名患者接受了FRED X支架,用于117个动脉瘤;大多数是状的,位于内动脉中.
- 血栓栓塞栓事件发生在5.9%的病例中,永久性发病率为1.0%,死亡率为0%.
- 动脉瘤完全堵塞在6个月时为58%,在6-12个月时为74.8%.
结论:
- 针对未破裂的内动脉瘤的FRED X支架显示了较低的神经病率和周围手术并发症.
- 早期动脉瘤封闭率是适当的,支持设备的初始安全性和有效性.
- 需要进一步的中期和长期后续数据才能充分确定结果.
更多相关视频
11:00Experimental Investigation of Secondary Flow Structures Downstream of a Model Type IV Stent Failure in a 180° Curved Artery Test Section
Published on: July 19, 2016
11.6K
04:08Fluorescence Angiography for Evaluation of Aneurysm Perfusion and Parent Artery Patency in Rat and Rabbit Aneurysm Models
Published on: July 24, 2019
6.9K
相关概念视频
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Urodynamic Studies: Uroflowmetry
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
