使用Nester可推线圈与Onyx对慢性脑膜下部血瘤进行中脑膜动脉栓塞:多中心倾向性得分匹配分析
Omar Ashraf1, Basel Musmar2, Kyle M Fargen1,3
1Neurosurgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Journal of neurointerventional surgery
|January 30, 2026
概括
尼斯特可推线圈和Onyx在慢性腹膜下血瘤 (cSDH) 中的中脑膜动脉栓塞 (MMAE) 中表现出类似的结果. 线圈栓塞为治疗cSDH提供了一个安全,高效和更快的替代方案.
科学领域:
- 干预性神经辐射学
- 血管外科 血管外科
- 神经外科 神经外科
背景情况:
- 中脑膜动脉栓塞 (MMAE) 对于慢性腹腔内血瘤 (cSDH) 有效.
- 蜂巢推进式线圈为MMAE提供了像Onyx这样的液体/颗粒剂的替代品.
- 这项研究将Nester线圈和Onyx在MMAE中对cSDH进行比较.
研究的目的:
- 为了比较Nester可推式线圈的疗效和安全性与cSDH中MMAE的Onyx.
- 为了评估放射性改善,需要手术救援,并发症率.
- 评估程序效率,包括程序时间.
主要方法:
- 对使用Nester线圈或Onyx.进行MMAE的患者的回顾性审查.
- 倾向性得分匹配 (1:1) 基于患者和血液瘤特征.
- 分析主要结果 (放射学改善,手术救援) 和次要结果 (并发症,手术时间).
主要成果:
- 在Nester线圈和Onyx (53.7%与44.8%) 之间的放射性改善 (>50%的血液瘤减少) 没有显著差异.
- 这两种栓塞剂之间的手术救援和症状复发率相似.
- 雀巢线圈栓塞证明了显著缩短的中位数手术时间 (34分 vs 63分).
结论:
- 巢穴可推线圈在cSDH中为MMAE提供了与Onyx相似的临床结果.
- 可推式线圈是cSDH处理的安全和高效选择.
- 使用线圈的更短的程序时间表明了具有成本效益的替代方案.
关键词:
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