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在内动脉瘤中WEBectomy的系统审查

João Paulo Liute Scarramal¹, Emmanuel Oberda Nominato¹, Leonardo Januário Campos Cardoso²

¹Department of Medical Sciences, Federal University of Ouro Preto, Ouro Preto, MG, Brazil.

The neuroradiology journal

|November 6, 2025

概括

编织EndoBridge设备的内血管切除 (WEBectomy) 是一种罕见但必要的程序,用于管理设备并发症. 成功的 WEBectomy 允许进行量身定制的再治疗,在大多数患者中报告了有利的结果.

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
医疗器械管理医疗器械管理

背景情况:

编织的EndoBridge (WEB) 设备用于内动脉瘤的内血管治疗.
诸如迁移,压缩和错位等并发症需要移除设备 (WEBectomy).
WEBectomy很少被报道,强调需要了解其管理策略.

研究的目的:

评估 WEBectomy 的治疗策略.
评估与WEBectomy相关的结果和并发症.
综合目前对这种罕见并发症的管理方法.

主要方法:

按照PRISMA指南进行系统审查.
在PubMed,Embase和Web of Science数据库中进行了搜索.
包括8项报告16名患者进行切除手术的研究.

主要成果:

移民是最常见的并发症 (69%).
阿姆普拉茨子微网是最常见的检索设备 (75%),没有报告的故障.
重新处理涉及新的WEB (50%) 或卷轴 (31%); 67%实现了完全封闭,83%具有有利的功能结果.

结论:

在某些特定情况下,可以成功地进行切除术,从而实现量身定制的再治疗.
在WEBectomy后可以获得有利的功能和血管学结果.
有限的病例数量和随访排除了关于安全性和有效性的最终结论.

关键词:

在WEBectomy中进行切除.编织的EndoBridge可以使用.这是内血管内血管的内血管.进行再处理.

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