在使用流量转移用于内动脉瘤管理的国家趋势
Jonathan Dallas1, Michelle Lin1, Robert G Briggs1
1Department of Neurological Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.
Neurosurgery
|January 8, 2026
概括
流量转移 (FD) 对于破裂动脉瘤的使用正在增加,尽管在太平洋地区不太常见. 这一趋势凸显了脑血管疾病的不断发展的内血管治疗策略.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 血管神经学 血管神经学
背景情况:
- 流量转移 (FD) 越来越多地用于动脉瘤治疗,扩展到未破裂的病例之外.
- 患者因素和医院实践影响FD的利用,而不仅仅是动脉瘤的特征.
研究的目的:
- 分析用于破裂和未破裂动脉瘤的FD使用趋势.
- 确定与FD利用相关的患者和医院因素.
主要方法:
- 从国家住院患者样本 (2020-2022) 中对9081名患者进行了回顾性队列研究.
- 分析包括动脉瘤的内血管治疗,不包括其他血管形或创伤性出血.
- 使用了科克兰-阿米塔奇趋势测试和多变量分析.
主要成果:
- 在未破裂的动脉瘤中,FD使用率为51.7%,在破裂的动脉瘤中为13.8%.
- 随着时间的推移,用于破裂动脉瘤的FD使用量显著增加 (P=.01).
- 在太平洋人口普查区 (OR 0.931-0.932) 观察到较低的FD使用率,并且在未破裂的病例中年龄较大 (P<.0001).
结论:
- 对于破裂动脉瘤,FD的使用正在增加,这表明治疗范式的转变.
- 在FD使用的区域差异要求进一步调查实践差异.
- 了解FD利用趋势对于评估治疗准入和治疗结果至关重要.
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