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超声波在超辐射访问脑血管学中的价值

Zhen Sun^1,2,3, Wenyue Wei¹, Congcong Jia¹

¹Department of Neurology, Linfen Central Hospital, Linfen, Shanxi, China.

Frontiers in neurology

|December 17, 2025

概括

超声指导显著提高了脑血管造影的超辐射接入 (TRA) 成功率,减少了手术时间和难以接入的病例. 这种技术提高了患者在血管程序中的结果和满意度.

科学领域:

干预心脏病学干预心脏病学
血管外科血管外科
放射学放射学是一门学科.

背景情况:

脑血管造影的超辐射接入 (TRA) 面临着诸如穿孔失败和由于辐射动脉变异而延长的手术时间等挑战.
超声指导,在冠状动脉血管学成功,可以提高TRA的结果.
这项研究评估了脑血管造影的超声导向TRA,评估了成功率,手术持续时间和患者满意度.

研究的目的:

评估超声波导向的超辐射接入 (TRA) 在脑血管学中的有效性.
为了比较超声波引导和传统TRA之间的程序完成率,持续时间和并发症率.
评估患者对超声波导向TRA的满意度.

主要方法:

一项前性非随机对照试验,涉及197名接受脑血管造影TRA治疗的患者.
患者被分为对照组和超声波组.
超声组接受了手术前的超声评估和超声指导的刺伤,用于具有挑战性的病例,并使用t测试和千平方测试 (p <0.05) 分析结果.

主要成果:

超声波组的TRA完成率比对照组 (94.5%) 高 (99.2%).
超声波组的平均手术时间明显缩短 (0.55小时) 与对照组 (0.67小时) 相比 (p < 0.001).
在超声波组 (1.7%) 与对照组 (21.7%) (p < 0.001) 中,难以进入的情况显著减少,并发症或患者满意度没有显著差异.

结论:

超声导向的TRA有效地减少了脑血管学中穿孔失败和手术持续时间.
该技术显示了改善TRA程序的整体结果和患者满意度的潜力.
术前超声波评估和指导对于具有挑战性的TRA病例是有益的.

关键词:

大脑血管学脑血管学这是一个复杂的并发症.辐射动脉变异的变化跨辐射接入方式超声波超声波是指超声波的使用.

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