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新生儿和婴儿的透射脑血管学:一个案例系列

Sean Schoeman¹, Bryan Pukenas^2,3, Fernando Escobar^2,3

¹Radiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA schoemans@chop.edu.

Journal of neurointerventional surgery

|January 8, 2025

概括

在新生儿和婴儿中,脑血管造影的超射线接入 (TRA) 是可行的,也是安全的. 这种技术可以进行诊断血管造影和选择干预,避免并发症和转换到股骨接入.

科学领域:

儿科神经外科儿科神经外科
干预性神经放射学干预性神经放射学
血管接入技巧血管接入技巧

背景情况:

超辐射接入 (TRA) 越来越多地用于神经血管程序.
关于新生儿和婴儿进行脑血管造影的TRA可行性的数据有限.

研究的目的:

评估TRA的可行性,安全性和有效性,用于脑血管造影和儿童患者的干预.
在这个人群中描述放射性动脉管的技术.

主要方法:

五名患者 (6天至7个月) 的回顾性病例系列,接受脑血管造影的TRA.
描述了三种管技术:裸背,微孔口罩和静脉导管.
抽象的数据包括人口统计,临床细节,程序信息和成像结果.

主要成果:

在所有五名儿科患者中成功进行了TRA,用于诊断大脑血管造影和一次干预.
不需要转换为大腿部接入.
没有观察到与放射性动脉接入部位相关的并发症.

结论:

超射线接入是新生儿和婴儿脑血管造影的可行,安全和有效方法.
在这种年轻患者群体中,TRA也可能使选择性内血管干预成为可能.

关键词:

血管学血管学血管学脑子脑子脑子脑子儿科儿科儿科

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