对于远端流量转移效应,使用LVISTM和EVOTM的初始经验
Alisha E Suri1,2, Y Jonathan Zhang1, Trevor H Torigoe1,2
1Department of Neurointerventional Radiology, The Queen's Health Systems, Honolulu, HI, USA.
概括
LVISTM EVOTM支架显示为治疗小,复杂的内动脉瘤的非标签流量转移器,显示出高闭塞率和支架通透性的承诺.
科学领域:
- 干预性神经辐射学
- 神经血管外科 神经血管外科
- 生物医学工程 生物医学工程
背景情况:
- 流量转移是宽内动脉瘤的标准.
- 在远端或曲的血管中,设备的输送可能很困难.
- 与传统的流量转移器相比,LVISTM EVOTM提供了更高的灵活性和航行能力.
研究的目的:
- 评估LVISTM EVOTM作为独立流量转移器的非标签使用情况.
- 评估其在治疗小而复杂的内动脉瘤时的安全性和有效性.
主要方法:
- 对9名用LVISTM EVOTM治疗的患者进行了回顾性审查.
- 对人口统计,手术细节和血管检查结果的分析.
- 随访计算机断层扫描血管造影,以评估结果.
主要成果:
- 100%的技术成功率,没有术前并发症.
- 在随访时,83.3%的动脉瘤完全封闭 (RROC类I).
- 100%的支架穿透性和没有观察到新的神经学缺陷.
结论:
- LVISTM EVOTM在技术上是可行的,并且在小,远端动脉瘤中非标签使用是安全的.
- 它为挑战性解剖学提供了现有的流量转移器的潜在替代方案.
- 需要进行更多的多中心研究,并进行更长的随访.
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