用支架辅助卷绕与流量转移技术治疗状动脉瘤:系统性审查和元分析
Kai Tang1, Xiao-Meng Liu, Chao Zhang
1Department of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang, P.R. China.
The Journal of craniofacial surgery
|December 27, 2024
概括
与支架辅助卷轴 (SAC) 相比,流量调节器支架 (FDS) 对状动脉瘤的完全封闭率更高. 无论是FDS还是SAC都是安全的,但FDS与更多的视觉并发症有关.
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 脑血管疾病
- 医疗器械技术 医疗器械技术
背景情况:
- 支架辅助卷轴 (SAC) 和流量转移支架 (FDS) 是对类动脉瘤的常见内血管治疗方法.
- 对这些技术的比较分析对于优化治疗策略至关重要.
研究的目的:
- 为了比较SAC与FDS的疗效和安全性,用于治疗状动脉瘤.
- 评估闭塞率,周围手术并发症和临床结果.
主要方法:
- 从2010年1月到2020年12月,对电子数据库进行系统的文献搜索.
- 从包含的比较研究中对比例的元分析.
- 对27个队列的分析,包括1208名患有1328个动脉瘤的患者.
主要成果:
- 与支架辅助卷卷 (SAC) (76%) (P=0.003) 相比,流量调节器支架 (FDS) 实现了更高的完全闭塞率 (85%).
- 新的视觉并发症在FDS组 (5%) 比SAC组 (1%) 更频繁 (P=0.018).
- 两种方法之间在整体手术相关并发症,血栓性/缺血性事件或有利的神经结果方面没有发现显著差异.
结论:
- 与支架辅助卷轴 (SAC) 相比,流量调节器支架 (FDS) 可能为状动脉瘤提供更高的完全闭塞率.
- 无论是FDS还是SAC,都显示出与程序相关的并发症和永久性疾病的可比安全概况.
- 随着FDS视觉并发症的发生率增加,需要进一步调查和眼科评估.
更多相关视频
11:58Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
15.4K
05:41Using a Cell-Tracer Injection to Investigate the Origin of Neointima-Forming Cells in a Rat Saccular Side Wall Model
Published on: March 16, 2022
2.2K
相关概念视频
01:21Aneurysm 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...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...