对于脑动脉瘤的SMART线圈的安全性和效率:系统性审查和元分析
Mohammad Amin Habibi1, Mohammad Sina Mirjnani2, Rasa Zafari3
1Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Iran.
The neuroradiology journal
|November 23, 2024
概括
智能线圈系统证明了治疗脑动脉瘤的安全性和效率. 这种新的栓塞线圈技术在实现完整的动脉瘤封闭和最大限度地减少并发症方面显示出有希望的结果.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 医疗器械 医疗器械
背景情况:
- 智能线圈系统代表了一代新的栓塞式线圈.
- 它包括一个赤裸的线圈,脱离推进器和脱离手柄.
- 这项技术旨在用于脑动脉瘤的内血管治疗.
研究的目的:
- 评估SMART卷圈系统的安全性和有效性.
- 评估其在内动脉瘤治疗中的性能.
主要方法:
- 在主要数据库 (PubMed/Medline,Embase,Web of Science,Scopus) 进行了系统的文献搜索,截至2023年10月.
- 包括专注于人类受试者的研究和原始研究.
- 非英语,非人体和非原始研究被排除在外.
主要成果:
- 分析包括了七项研究.
- 术后完全动脉瘤封闭率为45% (mRRC1),36%的部残留 (mRRC2) 和22%的残留 (mRRC3).
- 在最长的随访期,完全闭塞增加到66%,27%的部残留和9%的残留. 重新道化和重新治疗率分别为10%和9%. 不良事件发生率为9% (总体) 和6% (严重). 脑卒中和死亡率分别为2%和6%.
结论:
- 显然,SMART线圈系统是对内动脉瘤的安全有效的治疗选择.
- 它的性能与其他可用的治疗方式相提并论.
- 进一步的研究可能会在更大的患者队伍中验证这些发现.
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