Critical assessment of complications associated with use of the Pipeline Embolization Device

医学 栓塞 管道(软件) 外科 放射科 计算机科学 程序设计语言
作者
Min S. Park,Felipe C. Albuquerque,Michael J. Nanaszko,Matthew R. Sanborn,Karam Moon,Adib A. Abla,Cameron G. McDougall
出处
期刊:Journal of NeuroInterventional Surgery [BMJ]
卷期号:7 (9): 652-659 被引量:53
标识
DOI:10.1136/neurintsurg-2014-011265
摘要

Background The Pipeline Embolization Device (PED) has become an important tool in the treatment of complex cerebrovascular pathology since it was approved by the Food and Drug Administration in April 2011. Objective To determine the overall complication rate (permanent and transient) associated with the use of this new device from a single institution. Methods We retrospectively examined a prospectively maintained database of our patients treated with the PED since its availability to the current time. 126 patients (24 men, 102 women; age range 14–83 years, mean 59.8 years) were treated for a total of 137 intracranial aneurysms, one cervical internal carotid artery dissection, one cervical vertebral artery dissection, and one carotid-cavernous fistula with a total of 217 PEDs (1.72 PED/patient). Results A total of 40 complications were experienced by 33 patients in our cohort. Four complications (4/126, 3.2%) in four patients were permanent, resulting in three deaths and one permanent disability. The other 36 complications (28.6%) occurred in 29 patients, all of whom went on to recover completely. The total complication rate associated with the use of the PED was 31.7% (40/126). Conclusions Despite a low rate of permanent complications associated with the PED in this series, the total complication rate was high. This finding supports the conclusion that this device should be reserved for the most challenging aneurysms. Patients should be advised of this higher rate of transient periprocedural complications. Trial registration number IRB#:14BN027 Q7.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
sptyzl发布了新的文献求助10
刚刚
cardioJA完成签到 ,获得积分20
1秒前
宁静致远发布了新的文献求助10
1秒前
hopen完成签到 ,获得积分10
5秒前
7秒前
36038138发布了新的文献求助10
8秒前
公西钧完成签到,获得积分10
10秒前
七庙完成签到,获得积分10
11秒前
11秒前
13秒前
天御雪完成签到,获得积分10
13秒前
14秒前
安静海菡发布了新的文献求助10
14秒前
16秒前
17秒前
思源应助yang采纳,获得10
17秒前
17秒前
19秒前
20秒前
Ava应助云之南采纳,获得10
20秒前
20秒前
共享精神应助Sherry采纳,获得10
21秒前
星下梧桐应助Monicamo采纳,获得70
22秒前
飞飏发布了新的文献求助10
24秒前
落后的山水完成签到,获得积分10
24秒前
哈哈哈完成签到,获得积分10
25秒前
阿斯顿撒大学完成签到,获得积分20
25秒前
26秒前
故笺发布了新的文献求助10
27秒前
JamesPei应助落后的山水采纳,获得10
28秒前
31秒前
31秒前
迅速的萧完成签到 ,获得积分10
31秒前
无辜哑铃完成签到,获得积分20
32秒前
垃圾桶完成签到 ,获得积分10
32秒前
飞飏完成签到,获得积分10
32秒前
enen发布了新的文献求助150
33秒前
33秒前
35秒前
云之南发布了新的文献求助10
38秒前
高分求助中
Evolution 10000
Sustainability in Tides Chemistry 2800
юрские динозавры восточного забайкалья 800
English Wealden Fossils 700
A new species of Coccus (Homoptera: Coccoidea) from Malawi 500
A new species of Velataspis (Hemiptera Coccoidea Diaspididae) from tea in Assam 500
Diagnostic immunohistochemistry : theranostic and genomic applications 6th Edition 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3155908
求助须知:如何正确求助?哪些是违规求助? 2807136
关于积分的说明 7871997
捐赠科研通 2465497
什么是DOI,文献DOI怎么找? 1312260
科研通“疑难数据库(出版商)”最低求助积分说明 629958
版权声明 601905