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血管检测结果尺度在器件治疗动脉瘤中的可靠性和适用性:系统性审查
Pierre-Olivier Comby1,2, Stefanos Finitsis3, Daniela Iancu1
1Department of Radiology, Service of Neuroradiology, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, QC, Canada.
Neuroradiology
|December 20, 2024
概括
血管造影尺度对治疗器械的可靠性尚不清楚. 需要更多的研究来验证比较WEB与其他治疗方法的尺度.
科学领域:
- 内血管神经外科手术 血管内血管神经外科
- 脑血管疾病研究研究
背景情况:
- 该装置用于动脉瘤的内血管治疗.
- 为了报告治疗结果,使用了各种血管学评估尺度.
- 对结果报告的标准化对于比较有效性研究至关重要.
研究的目的:
- 在报告治疗结果的研究中审查血管造影评估尺度的利用和可靠性.
- 识别最常用的尺度,并评估其报告的可靠性.
主要方法:
- 对2010年1月至2023年5月期间发表的研究进行系统审查.
- 包括报告WEB治疗动脉瘤的血管学结果的研究.
- 独立审核人员提取和评估有关尺度使用和可靠性的数据.
主要成果:
- 138项研究使用了12种不同的阻塞量表.
- 雷蒙-罗伊闭塞分类 (RROC) 是最常见的 (68%).
- 存在有限的可靠性数据;在特定条件下,发现Web Occlusion Scale (WOS) 和Bicêtre Occlusion Scale Score (BOSS) 的实质一致.
结论:
- 目前用于WEB设备治疗的血管造影结果尺度缺乏足够的验证.
- 需要进行进一步的协议研究,以建立可靠的尺度来比较WEB与替代治疗方法.
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