对宽破裂动脉瘤裸体白金线圈栓塞的当代结果:SMART注册表的一个子集分析
Mithun G Sattur1, Britton Keith Woodward2, Min S Park3
1Department of Neurosurgery Medical University of South Carolina Charleston SC USA.
Stroke (Hoboken, N.J.)
|January 26, 2026
概括
使用SMART线圈可以成功地实现宽,破裂动脉瘤 (WNRA) 的栓塞. 然而,较宽的动脉瘤部可能会对长期阻塞率产生负面影响,需要重新治疗.
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:
- 宽和破裂状态是影响血管内血管卷积后血管学阻塞的关键因素.
- 新的线圈技术提供了一种潜在的策略,以提高宽,破裂动脉瘤 (WNRA) 的闭塞率.
研究的目的:
- 评估SMART裸线圈的安全性和有效性,用于治疗WNRA.
- 评估子宽度对WNRA血管学结果的影响.
主要方法:
- 对SMART注册表的分析,包括用SMART卷轴处理的143个WNRA.
- 根据子宽度 (≥4毫米) 或圆顶到子比率 (<2) 来定义WNRA.
- 评估立即和1年封闭率,功能结果和再治疗率.
主要成果:
- 立即充足的遮率为78.3%,较宽的子 (≥4毫米) 的比例较低.
- 在1年的随访中,82.4%的患者实现了充分的闭塞,尽管20.9%的患者出现了恶化的闭塞.
- 在20.2%的患者中,需要重新治疗;在57.7%的患者中,获得了良好的功能结果.
结论:
- 智能线圈使WNRA的安全栓塞成为可能.
- WNRA通常需要辅助技术,并且可能需要随着时间的推移重新治疗.
- 动脉瘤的部宽度是与不利的血管检查结果相关的重要因素.
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