破裂和未破裂动脉瘤与周边神经血管系统的栓塞 - - 106例病例的总结
Fritz Wodarg1, Fernando Bueno Neves1, Friederike Gärtner1
1From the Department of Radiology and Neuroradiology (F.W., F.B.N., F.G., N.L., S.P., J.H., T.K., J.M., O.J., K.M.), University Hospital Schleswig Holstein, Campus Kiel, Kiel, Germany.
AJNR. American journal of neuroradiology
|March 27, 2025
概括
轮神经血管系统 (CNS) 显示成功植入和广内动脉瘤有望稳定. 这种转流支架提供了一种安全有效的治疗选择,具有良好的长期结果.
科学领域:
- 神经外科 神经外科
- 干预性神经放射学 干预性神经放射学
- 血管神经学 血管神经学
背景情况:
- 内动脉瘤对健康构成重大风险,需要先进的治疗策略.
- 微创技术,包括流量转移装置,越来越多地用于动脉瘤管理.
- 轮神经血管系统 (CNS) 是这个不断发展的领域的一个显著装置.
研究的目的:
- 评估围绕神经血管系统 (CNS) 在治疗宽内动脉瘤中的中长期临床和血管学结果.
- 在现实患者队列中评估中枢神经系统设备的安全性和有效性.
- 为复杂动脉瘤病例转移流量支架的性能提供数据.
主要方法:
- 追溯分析106名患有109个内动脉瘤的患者,接受中枢神经系统治疗,遵守STROBE指南.
- 收集人口统计,动脉瘤和手术数据,并对植入后长达24个月的后续评估进行.
- 使用雷蒙-罗伊尺度 (RRS) 评估闭塞率,记录周围手术并发症.
主要成果:
- 在95.5%的患者中,成功实现了中枢神经系统植入.
- 在6个月,12个月和24个月的闭塞率分别为65.1%,41.5%和28.3%,观察到有利的RRS等级.
- 术周并发症发生在7.5%的病例中,破裂动脉瘤的发病率更高 (11.7%).
结论:
- 中枢神经系统表现出高的植入成功和有希望的中长期稳定性,用于内动脉瘤.
- 6个月的早期封闭与24个月以后的低再干预率相关.
- 这些研究结果支持CNS作为一种安全有效的选择,需要在更大的前性研究中进行进一步的调查.
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