用AneuGuide软件辅助流量转换器治疗复杂的内动脉瘤的单中心经验
Yuexin Lu1, Jiahao Tang1, Rong Zou2
1Brain Center, Zhejiang Hospital, Hangzhou, China; The Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, China.
World neurosurgery
|September 26, 2025
概括
由AneuGuide软件指导的流量转移器 (FD) 在治疗复杂的内动脉瘤方面表现出更高的疗效,实现更高的完全闭塞率. 这种AneuGuide辅助的FD治疗对于复杂动脉瘤是安全有效的.
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
- 医疗器械技术 医疗器械技术
背景情况:
- 复杂的内动脉瘤带来了重大的治疗挑战.
- 流量转移器 (FDs) 提供了一种最少的侵入性治疗选择.
- 优化FD放置对于成功堵塞动脉瘤至关重要.
研究的目的:
- 评估AneuGuide软件辅助流量转移器 (FD) 植入复杂内动脉瘤的安全性和有效性.
- 为了比较FD治疗与没有AneuGuide软件指导之间的结果.
主要方法:
- 在45名用FDs治疗的患者中,对48例复杂的内动脉瘤进行了回顾性分析.
- 对21个用AneuGuide辅助FD治疗的动脉瘤和27个没有使用AneuGuide治疗的动脉瘤的结局进行比较.
- 评估即时栓塞率,并发症和1年的临床和成像随访.
主要成果:
- 在这两组中都没有观察到术后并发症.
- 通过AneuGuide辅助的FD治疗导致完全闭塞率显著提高 (77.1%与非辅助组较低,P=0.044).
- 在非AneuGuide组中发生了一例无症状的支架狭窄;没有报告新的神经学缺陷.
结论:
- AneuGuide软件辅助的流量转移器放置是一种安全有效的方法来治疗复杂的内动脉瘤.
- 软件指导与改善的动脉瘤闭塞率有关.
- 建议进行进一步的前性研究来证实这些发现.
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