慢性皮下血瘤的门诊中脑膜动脉栓塞的可行性
David Barkyoumb1, Kishore Balasubramanian1, Sufyan Ibrahim1
1Department of Neurosurgery, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma, United States.
Surgical neurology international
|August 21, 2025
概括
门诊中脑膜动脉栓塞 (MMAe) 对于慢性皮下血瘤 (cSDH) 是安全的和可行的. 这种方法为特定的患者提供了加速恢复和经济效益.
科学领域:
- 干预性神经放射学
- 神经外科
- 血管神经学
背景情况:
- 中脑膜动脉栓塞 (MMAe) 是一种经过验证的慢性体内血瘤 (cSDH) 治疗方法.
- 门诊MMAe提供了更快的恢复和成本节省的潜力.
- 目前关于门诊MMAe方案的可行性和结果的数据有限.
研究的目的:
- 评估对cSDH进行门诊MMAe的安全性和可行性.
- 在门诊MMAe环境中评估并发症率,再入院率和临床结果.
主要方法:
- 对接受cSDH门诊MMAe的患者进行回顾性队列分析.
- 从2023年8月到2025年3月收集的数据.
- 主要结果:程序性并发症,ED返回,30天再入院. 二次结局:复发,症状消失,X光检查结果.
主要成果:
- 64名患者 (年龄中位数为76) 接受了门诊MMAe治疗,77%接受了初级治疗.
- 没有过程中的并发症; 两个轻微的过程后的并发症.
- 30天的再入院率为5%,其中17%的人返回ED (中位数为手术后12天).
- 在52例随访患者中,复发率为4%,症状完全消失为58%,症状改善为29%.
结论:
- 门诊MMAe对于某些cSDH患者来说是一种安全且可行的治疗选择.
- 这种方法可以改善患者的康复和经济优势.
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