遥远的后部下脑动脉剖析动脉瘤:一个系统的审查和元分析
Mustafa Ismail1, Norito Kinjo1, Rania H Al-Taie2
1Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, 29425, USA.
Acta neurochirurgica
|July 27, 2025
概括
远端PICA剖析动脉瘤是罕见但危险的. 内血管母动脉封闭是有效的,为这些复杂的病例提供高封闭率和低发病率.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 干预性放射学 干预性放射学
背景情况:
- 距离后下大脑动脉 (PICA) 剖析动脉瘤是罕见的,复杂的,并且不太了解.
- 缺乏标准化的管理策略和长期成果.
- 本综述侧重于这些动脉瘤的解剖学,临床和治疗方面.
研究的目的:
- 系统地审查远端PICA剖析动脉瘤的特征.
- 分析当前的管理策略及其结果.
- 确定未来研究领域,改善患者护理.
主要方法:
- 使用PRISMA指南进行了全面的文献搜索.
- 搜索了PubMed和SCOPUS数据库,确定了15项符合条件的研究,涉及68名患者.
- 使用随机效应模型进行了数据提取和元分析.
主要成果:
- 91.2%的患者出现了下关节下出血.
- 内血管治疗 (69.1%) 显示90%的完全闭塞率与低的再出血 (8%).
- 手术治疗 (23.5%) 具有类似的疗效 (81%的闭塞),两种方法的结果没有显著差异.
结论:
- 远端PICA剖析动脉瘤具有较高的出血风险.
- 血管内母动脉封闭是一种可行的策略,具有高成功率和低发病率.
- 需要进一步的解剖学特异性研究,因为目前的设备局限性 (例如,没有流量转移) 被注意到.
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