远端脑动脉瘤的流量转移:一个系统的审查和元分析
Ahmet Günkan1, Marina Vilardo2, João Paulo Liute Scarramal3
1Radiologica, Unidade General Osório, Nova Friburgo, Rio de Janeiro, Brazil.
Journal of neurointerventional surgery
|May 13, 2025
概括
流量转移器 (FD) 在治疗远端脑动脉瘤 (DCA) 方面表现有前途. 这次审查发现FD是安全有效的,具有高的闭塞率和低的并发症风险.
科学领域:
- 神经内血管外科手术是一种神经内血管手术.
- 脑血管疾病管理的管理
- 医疗器械技术 医疗器械技术
背景情况:
- 距离性脑动脉瘤 (DCA) 具有挑战性治疗.
- 流量转移器 (FD) 越来越多地用于DCAs的非标签.
- 关于FD用于DCA的安全性和有效性的数据有限.
研究的目的:
- 综合目前关于FD处理DCAs的证据.
- 评估FDs在治疗DCAs中的安全性和有效性.
- 为DCAs提供FD治疗结果的元分析.
主要方法:
- 18项研究的系统综述和元分析.
- 包括441名患者和445名DCA.
- 分析了疗效 (封闭,重新治疗) 和安全性 (结果,并发症).
主要成果:
- 充足的高 (90%) 和完全的 (79%) 封闭率.
- 低的再处理率 (1.6%) 和良好的功能结果 (97%).
- 与手术相关的并发症 (9%),发病率 (1.5%) 和死亡率 (0.6%) 较低.
结论:
- 流量转移器在治疗远端脑动脉瘤方面是安全有效的.
- 观察到高闭塞率和有利的安全概况.
- 进一步的研究可能会支持在DCAs中更广泛地使用FD.
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