在使用支架辅助卷轴后,针对复发性/持续性内动脉瘤的流量转移的多中心分析
Mohamed M Salem1,2, Ahmed Helal2, Avi A Gajjar3,4
1Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA jan.burkhardt@pennmedicine.upenn.edu msalem_123@yahoo.com.
Journal of neurointerventional surgery
|March 26, 2025
概括
流量转移器支架 (FDS) 为支架辅助卷轴 (SAC) 后的复发性内动脉瘤提供了可行的治疗方法,尽管面临挑战,但仍然实现了良好的闭塞率和良好的结果.
科学领域:
- 神经外科 神经外科
- 干预性神经辐射学
- 血管神经学 血管神经学
背景情况:
- 流量转移器支架 (FDS) 是内动脉瘤的标准.
- 对于复发性动脉瘤的FDS后支架辅助卷轴 (SAC) 的有效性尚未明确.
研究的目的:
- 评估以前用SAC治疗过的复发性或持续性内动脉瘤患者的FDS重复治疗的结果.
- 在这个具有挑战性的患者群体中评估FDS的安全性和有效性.
主要方法:
- 来自22个机构的118名患者进行了回顾性分析,这些患者在2008年至2022年期间接受了SAC后动脉瘤的FDS再治疗.
- 主要结局:血管学闭塞状态 (完整,几乎完整,不完整).
- 二次结果:程序并发症和修改的兰金度量表 (mRS) 临床结果.
主要成果:
- 在62.5%的患者中实现了完全封闭,在25%的患者中几乎完全封闭.
- 在98.3%的FDS部署成功. 3.4%发生重大并发症 (破裂,血栓塞栓症).
- 在95.1%的患者中,临床结果有利 (mRS 0-2).
结论:
- 在SAC之后,FDS重新治疗是SAC后复发/残留动脉瘤的可行选择.
- 可接受的安全性和合理的阻塞率,尽管可能低于新的FDS治疗方法.
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