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首页> 外文期刊>Clinical neuroradiology. >Treatment of Wide-Necked Bifurcation Aneurysms: Initial Results with the pCANvas Neck Bridging Device
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Treatment of Wide-Necked Bifurcation Aneurysms: Initial Results with the pCANvas Neck Bridging Device

机译：宽颈分岔动脉瘤的治疗：初始结果与PCANVAS颈部桥接装置

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Background Recently, numerous devices dedicated to the treatment of wide-necked aneurysms have become available. We present our initial experience with the pCANvas device and present the technical success rate, clinical outcome and immediate angiographic occlusion rates. Objective We sought to determine the efficacy of flow with the pCANvas for the treatment of unruptured intracranial aneurysms. Methods We performed a retrospective review of our prospectively collected data to identify patients treated with the pCANvas device between February 2015 and February 2017. The patient demographics, aneurysm characteristics, immediate and delayed clinical and radiographic follow-up data were recorded. Results We identified 17 patients (13 female) treated only with the pCANvas device. The average age of the patients was 60.5±13.3 years (range 25-75 years). The average dome width was 7.6±3.2mm (range 3-15.8mm), dome height 7.1 ±3.2mm (range 3-12.9mm) and neck width 5.4±3.2 (range 3-16.3mm). The average aspect ratio was 1.5±0.8 (range 0.6-3.7). At the end of the procedure 15 aneurysms continued complete filling of the aneurysm (Raymond Roy Classification[RRC] 3) with 2 aneurysms showing only filling of the neck of the aneurysm (RRC 2). Early follow-up angiography was available for 16 patients and at this stage 11 aneurysms showed persistent and complete filling of the aneurysm (RRC 3), 5 aneurysms showed complete occlusion of the aneurysm (RRC 1) and 7 aneurysms underwent repeat treatment with coiling. Conclusion The early results on the use of the pCANvas are promising; however, longer term follow-up and larger studies are required.
机译：背景技术最近，众多专用于治疗宽颈动脉瘤的设备已经可用。我们介绍了我们的初步体验，并展示了技术成功率，临床结果和立即血管造影闭塞率。目的我们试图确定流动与PCANVA治疗颅内动脉瘤的疗效。方法对我们预期收集的数据进行了回顾性审查，以识别2015年2月和2017年2月之间用PCANVA设备治疗的患者。记录了患者人口统计学，动脉瘤特征，即时和延迟临床和射线照相后续数据。结果我们鉴定了17名患者（13名女性）仅与PCANVAS设备处理过。患者的平均年龄为60.5±13.3岁（范围为25-75岁）。平均圆顶宽度为7.6±3.2mm（范围3-15.8mm），圆顶高度7.1±3.2mm（3-12.9mm）和颈部宽度为5.4±3.2（范围3-163.3mm）。平均纵横比为1.5±0.8（范围为0.6-3.7）。在步骤结束时，15个动脉瘤继续完全填充动脉瘤（Raymond Roy分类[RRC] 3），其中2个动脉瘤仅填充动脉瘤的颈部（RRC 2）。早期随访血管造影可用于16名患者，并且在该阶段，11个动脉瘤显示出持续和完全填充动脉瘤（RRC 3），5个动脉瘤显示出的动脉瘤（RRC 1）和7个动脉瘤进行重复治疗的动脉瘤（RRC 1）和7个动脉瘤和7个动脉瘤进行重复治疗。结论早期结果对PCANVA的使用是有前途的;但是，需要长期随访和更大的研究。

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