短期结果和医院住院费用与流量转移相比卷轴栓塞不破裂动脉瘤:一个国家评估
Jonathan Dallas1, Michelle Lin1, David J Cote1
1Department of Neurological Surgery, Keck School of Medicine of the University of Southern California, 1200 N State Street, Suite 3300, Los Angeles, CA 90033, United States.
Clinical neurology and neurosurgery
|November 12, 2025
概括
流量转移 (FD) 和线圈栓塞 (CE) 在未破裂的动脉瘤中显示了类似的短期结果. 然而,FD与略高的住院费用有关,因此需要进一步进行长期结果研究.
科学领域:
- 神经学 神经学
- 干预性神经放射学 干预性神经放射学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 流量转移 (FD) 越来越多地用于复杂的未破裂的内动脉瘤.
- 传统的线圈栓塞 (CE) 仍然是一个标准的治疗选择.
研究的目的:
- 为了比较国家结果和FD和CE之间的医疗保健利用,用于未破裂的动脉瘤.
- 评估短期临床结果和住院费用.
主要方法:
- 对国家住院患者样本 (2019-2022) 的分析,用于选择性未破裂动脉瘤治疗.
- 排除了儿科,非选择性和下关节出血病例.
- 多变量回归分析死亡率,中风,出院安排,停留时间和成本.
主要成果:
- 观察到低死亡率 (0.19%),不良出院 (2.77%) 和中风 (0.83%).
- FD与不良放电或中风没有显著相关.
- FD导致医院住院费用显著增加 (增加了1260.98美元).
结论:
- 对于未破裂的动脉瘤,FD和CE之间的短期结果是可比的.
- 使用FD与增加住院费用有关.
- 需要对长期结果进行进一步的研究,特别是随着复杂病例中FD使用率的增加.
更多相关视频
11:58Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
16.1K
07:21Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
Published on: September 8, 2023
1.0K
相关概念视频
Aneurysm IV: Nursing Management
364
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
364
Aneurysm III: Interprofessional Care
249
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
249
Aneurysm II: Clinical Manifestations and Diagnostic Studies
258
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
258
