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流量转移器与支架辅助卷曲治疗用于管理剖析内动脉瘤:系统性审查和元分析

Leonardo O Brenner¹, Milena Zadra Prestes¹, Cid Soares²

¹Department of Medicine, State University of Ponta Grossa, Ponta Grossa, Brazil.

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

|December 13, 2024

概括

支架辅助卷轴为剖析内动脉瘤 (DIA) 提供了更高的立即封闭,而流量转移器在更少的重新处理中显示了类似的长期结果. 这两种方法都具有可比的安全性,需要进一步研究才能得出最终的结论.

科学领域:

神经外科神经外科
干预神经病学干预神经病学
血管医学血管医学

背景情况:

剖析性内动脉瘤 (DIAs) 使用内血管方法治疗,如流量转移器 (FDs) 和支架辅助卷轴 (SAC).
对于DIA治疗,FD和SAC之间存在有限的比较证据.
进行了一项元分析,以比较这两种内血管方法的结果.

研究的目的:

为了比较流量转移器 (FD) 与支架辅助卷轴 (SAC) 的疗效和安全性,用于治疗剖析性内动脉瘤 (DIA).
分析关键结果,包括闭塞率,死亡率,并发症,复发率和再治疗率.

主要方法:

进行了系统的元分析,搜索了PubMed,Embase和Web of Science数据库.
包括使用SAC和FD用于DIA治疗的研究.
分析的结果包括死亡率,闭塞率 (术后和随访),并发症,临床结果,复发和重新治疗,使用随机效应的几率比率.

主要成果:

分析包括10项研究,包括FD组的195名患者和SAC组的222名患者.
支架辅助线圈显示,术后完全动脉瘤闭塞率显著更高.
在随访封闭,总死亡率,手术内或术后并发症,临床结果或复发率方面没有发现显著差异. 虽然FD显示了较低再处理率的趋势,但在统计学上并不显著.

结论:

支架辅助线圈实现更高的立即封闭率的DIAs.
无论是FD还是SAC,都显示出相似的长期血管造影阻塞和安全性.
需要进一步的大规模,前性,多中心研究,以确定关于FD和SAC对DIA的比较有效性的最终结论.

关键词:

用支架辅助的卷轴,可以使用支架.动脉动脉瘤是一个动脉瘤.线圈线圈是一个线圈.切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割切割流量转移器是一个流量转移器.这是一个元分析.系统性审查系统性审查

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