脑动脉瘤停滞在流量转移中的治疗模式不断发展
Joshua H Weinberg1, Max Gruber1, Nathan Ritchey1
1Department of Neurosurgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
概括
流量转移有效地治疗内动脉瘤,高血压会对完全封闭产生负面影响. 治疗后停滞的程度无法预测结果,这表明需要进一步的研究以获得最佳的管理.
科学领域:
- 神经外科 神经外科
- 血管内治疗疗法 血管内疗法
- 血管神经学 血管神经学
背景情况:
- 流量转移是内动脉瘤的主要治疗方法.
- 不完全封闭率仍然令人担忧,对其长期影响的数据有限.
- 了解影响闭塞的因素对于患者的治疗结果至关重要.
研究的目的:
- 评估用于内动脉瘤的流量转移的结果.
- 为了确定完全封闭和重新处理的预测因素.
- 评估静止时间对治疗成功的影响.
主要方法:
- 对125名未经治疗的动脉瘤患者进行了回顾性分析,这些患者接受了流量转移 (PED) 治疗.
- 患者分为静脉,毛细血管或没有静止的组.
- 进行比较和多变量分析以确定结果预测因素.
主要成果:
- 在69.6%的患者中实现了完全封闭;82.4%的患者出现了封闭进展.
- 只有2.4%的病例需要重新治疗.
- 高血压是完全封闭和进展的负预测因素;静止持续时间不显著.
结论:
- 流量转移是一种安全有效的头内动脉瘤的第一线治疗方法.
- 高血压与较差的闭塞率有关.
- 治疗后静止持续时间可能无法预测未来的结果,因此需要进一步调查.
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