在非老年人群中,中脑膜动脉栓塞治疗慢性腹腔内血瘤
Justin H Granstein1, Thomas B Fodor2, Michael Young2
1Division of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis St Suite 3B, Boston, MA 02215, USA; Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA 02215, USA.
Clinical neurology and neurosurgery
|January 21, 2025
概括
中脑膜动脉栓塞 (MMAe) 是一种安全有效的治疗慢性脑下血液瘤 (cSDH) 在非老年患者,显示承诺的主要用途.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 老年医学 老年医学
背景情况:
- 慢性亚皮血瘤 (cSDH) 发病率正在上升,预计将成为最常见的成人神经外科疾病.
- 非老年患者对cSDH治疗提出了独特的挑战.
- 中脑膜动脉栓塞 (MMAe) 是作为cSDH的治疗方法被探索的.
研究的目的:
- 为了调查MMAe在cSDH的非老年患者中的结果.
- 评估MMAe作为老年人群中cSDH的初级或辅助治疗.
主要方法:
- 对21名90岁以上的患者进行了回顾性审查,他们接受了为cSDH (2018-2024) 用MMAe治疗.
- 对人口统计,功能状况,干预类型,cSDH规模,复发,重新干预和后续状态的分析.
- 对放射性和功能性结果的统计分析.
主要成果:
- 95%的患者在后续成像中没有出现cSDH复发或增长.
- 一名患者经历了新的创伤后的复发; 一个程序性并发症 (股骨虚动脉瘤) 发生并解决.
- 经修改的兰金尺度 (mRS) 中位数在治疗后从3提高到2.
结论:
- 对于患有cSDH的非老年患者来说,MMAe是一种安全有效的治疗方法.
- MMAe显示出作为老年人cSDH的主要治疗方式的潜力.
- 该程序在这个人群中提供了有利的功能结果.
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