基础干部动脉瘤的内血管治疗后的并发症和长期结果
Yuange Bi1, Yangyang Tian1, Yunbo Chi2
1Department of Neurosurgery, First Hospital of Jilin University, Changchun, China.
Frontiers in neurology
|September 15, 2025
概括
基底干动脉瘤 (BTA) 的内血管治疗 (EVT) 是可行的,显示出良好的结果和生存率. 然而,警并发症,特别是缺血性并发症,对于患者的安全和更好的结果至关重要.
科学领域:
- 神经学 神经学
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 基底干动脉瘤 (BTA) 是一种罕见的脑血管病变,与显著的发病率和死亡率有关.
- 治疗BTA是复杂的,内血管治疗 (EVT) 成为主要的治疗选择.
- 了解EVT对BTA的并发症和长期结果对于优化患者护理至关重要.
研究的目的:
- 分析和评估基底干动脉瘤 (BTA) 内血管治疗 (EVT) 的并发症和长期结果.
- 为了确定与手术后并发症和不良临床结果相关的风险因素,在BTAs的EVT之后.
主要方法:
- 在2011年1月至2023年4月期间接受EVT治疗的90名患者 (92名BTA) 的回顾性观察队列研究.
- 分析导致术后并发症和不良临床结果的因素.
- 平均随访时间为51.0个月.
主要成果:
- 所有90名患者的EVT成功;75.6%的人取得了良好的临床结果.
- 整体并发症率为33.33%,缺血性并发症为25.6%. 死亡率为8.9%,死亡率为8.9%.
- 并发症的危险因素包括单边脊椎动脉牺牲,GCS ≤12,年龄≥60. 不良结局的危险因素包括糖尿病,缺血发作,脊椎关的参与,以及GCS ≤12.
结论:
- 基底干动脉瘤的内血管治疗 (EVT) 是一个可行的选择,具有有利的长期临床结果和合理的生存率.
- 临床医生必须保持警,以防出现与程序相关的并发症,特别是缺血性事件,这可能会显著影响患者的预后.
- 识别特定的风险因素可以帮助对接受EVT的BTA患者进行风险分层和管理计划.
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