宽两叉动脉瘤的编织内膜桥:对120例病例进行了回顾性研究,扩展了涵盖所有亚型的扩展性指示
Jun Tanabe1, Ichiro Nakahara1, Shoji Matsumoto1
1Department of Comprehensive Strokology, Fujita Health University School of Medicine, Toyoake, Japan.
Neurointervention
|June 26, 2025
概括
织成的EndoBridge (WEB) 装置是安全有效的治疗日本所有宽两动脉瘤 (WNBA). 这项研究显示,再治疗率较低,支持其在不同患者群体中的使用.
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
- 血管外科 血管外科
背景情况:
- 宽两叉动脉瘤 (WNBA) 带来了治疗方面的挑战.
- 编织的EndoBridge (WEB) 设备提供了一个最小侵入性的治疗选择.
研究的目的:
- 为了评估所有WNBA亚型的WEB设备的安全性和有效性.
- 在日本人口中报告结果,这是同类中第一个.
主要方法:
- 对117名患者 (120例动脉瘤) 进行了回顾性审查,这些患者使用了WEB设备治疗.
- 基于从全球经验得出的超大尺寸政策的设备选择.
- 在12个月的随访期对血管学和临床结果的分析.
主要成果:
- 在68.8%的动脉瘤中实现了完全消灭,在90.6%的动脉瘤中实现了充分消灭.
- 手术期间发生的事件率低 (4.2%为缺血,1.7%为出血) 和随访发病率低 (0.8%为中风).
- 只有2.5%的病例需要重新治疗;年龄与完全闭塞有关.
结论:
- WEB 设备是所有WNBA亚型的安全有效的治疗方法.
- 过大尺寸的政策对于实现低的再处理率至关重要.
- 这项研究为日本队列中WEB设备性能提供了有价值的数据.
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