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在未破裂的前部循环动脉瘤中,支架辅助卷曲与流量转移:单中心队列研究

Mario Martinez-Galdamez¹, Jorge Galván-Fernández¹, Lorenzo Ismael Perez-Sanchez¹

¹Interventional Neuroradiology Unit, Radiology Department, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain.

|December 24, 2025

概括

支架辅助线圈 (SAC) 提供了快速的动脉瘤堵塞,但需要更多的再处理. 流量转移 (FD) 提供了持久的,稳定的结果,没有重新处理,与单支架SAC和FD相似的安全配置文件.

科学领域:

内血管神经外科手术血管内血管神经外科
脑血管疾病是脑血管疾病.
医疗器械技术医疗器械技术

背景情况:

支架辅助卷轴 (SAC) 和流量转移 (FD) 是治疗脑动脉瘤的内血管技术.
SAC实现了立即的封闭,而FD则促进了船只的逐步改造.
对未破裂的前部循环动脉瘤的比较数据有限.

研究的目的:

为了比较SAC与FD在未破裂的前部循环动脉瘤的疗效和安全性.
评估结果,包括闭塞率,重新治疗需要,并发症和功能状态.

主要方法:

在2021-2024年期间,对129个用SAC (n=33) 或FD (n=96) 治疗的动脉瘤进行了回顾性审查.
1:1倾向分数匹配 (PSM) 用于控制患者和动脉瘤特征.
评估结果:血管图学阻塞,重新治疗,并发症和修改的兰金度量表 (mRS).

主要成果:

SAC实现了更高的立即封闭 (60%与匹配队列中的10%相比),而FD显示出优越的长期稳定性.
对于FD,没有需要重新治疗,而在匹配的队列中,SAC的治疗率为15%.
并发症率相似,但单支架SAC具有与FD相似的安全概况,与复杂的多支架重建不同.

结论:

SAC提供快速封闭,但需要更高的再处理率.
FD可确保持久的封闭,无需重新处理,并提供一致的安全配置文件.
治疗选择应量身定制,考虑动脉瘤复杂性和患者因素,以"快速关闭SAC,永远关闭FD"的策略.

关键词:

血管内治疗血管内治疗流量转移器是一个流量转移器.头骨内动脉瘤是什么意思倾向性得分匹配的比分匹配使用支架辅助的卷轴.

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