用Woven EndoBridge (WEB 设备或线圈治疗动脉瘤的血管学结果:观察者间和观察者内可靠性研究
Pierre-Olivier Comby1, Tim E Darsaut2, Anass Benomar3
1Centre Hospitalier Universitaire Dijon Bourgogne, Dijon, France. pierreolivier.comby@gmail.com.
Neuroradiology
|May 7, 2025
概括
一个3点血管学尺度可靠地评估动脉瘤治疗结果,无论是WEB设备和内血管线圈. 这种尺度有助于比较治疗效果,并指导脑动脉瘤的临床管理决策.
科学领域:
- 神经学 神经学
- 干预性神经放射学 干预性神经放射学
- 医疗器械评估 医疗器械评估
背景情况:
- 血管检查结果对于评估和比较动脉瘤治疗非常重要.
- 对WEB和线圈栓塞的3点血管学尺度的可靠性需要评估.
研究的目的:
- 确定和比较一个三点血管学结果尺度的可靠性和临床影响.
- 为了评估不同动脉瘤治疗方式 (WEB 与线圈) 之间的尺度的一致性.
主要方法:
- 32名评级人员使用3分级和管理建议评估了60个动脉瘤 (30个网络,30个线圈).
- 使用Gwet的AC2 (κG) 系数来评估评价者间和评价者内部的可靠性.
- 血管学等级和管理之间的相关性用克莱默的V.分析.
主要成果:
- 对于封闭度 (κG=0.78) 和管理决策 (κG=0.79) 发现了实质性的评价者间一致.
- 对于WEB治疗和卷曲动脉瘤,协议是相似的和实质性的.
- 血管学等级和管理建议之间存在强烈的相关性 (克莱默V=0.77).
结论:
- 3点血管图表尺度显示了高可靠性,用于评估用WEB设备或线圈治疗的动脉瘤.
- 无论采用哪种治疗方式,该表格始终为管理决策提供信息.
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