Assessing Radiation Exposure and Contrast Agent Utilization: A Comparative Analysis of the Woven EndoBridge Device and Stent-Assisted Coil Embolization for Managing Unruptured Wide-Neck Bifurcation Aneurysms.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-15 DOI:10.5469/neuroint.2024.00143

J. Baek, H. Jeong, Ji-Yeon Han, Y. Heo, S. Yun, W. Lee, S. Kim

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Abstract

PURPOSE In this study, we determined whether there were significant differences in procedure time, radiation dose, fluoroscopy time, and total contrast media dose when unruptured wideneck bifurcation aneurysms (WNBAs) were treated with the Woven EndoBridge (WEB) device and stent-assisted coil (SAC) embolization. MATERIALS AND METHODS The WEB device and SAC embolization (14:17) were used to treat 31 cases of internal carotid artery bifurcation, anterior communicating artery, middle cerebral artery bifurcation, and basilar bifurcation aneurysms between August 2021 and December 2022. The procedure time, radiation dose, fluoroscopy time, and total contrast medium dose between the 2 treatment groups were compared and analyzed. In the WEB device group, the results between operators were compared, and the follow-up radiologic outcomes were investigated. RESULTS The procedure and fluoroscopy times were significantly shorter in the WEB device group. Radiation and total contrast media dose were also significantly smaller in the WEB device, but there was no significant difference in results between operators. The follow-up radiological outcome showed adequate occlusion in 83.3% (10/12) of cases. CONCLUSION The WEB device can be used as an alternative treatment method among the available endovascular treatment methods for WNBAs to reduce radiation exposure and the dose of contrast media when used adequately with appropriate indications.

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评估辐射暴露和造影剂使用情况：编织 EndoBridge 设备与支架辅助线圈栓塞治疗未破裂的宽颈分叉动脉瘤的比较分析》。

目的在这项研究中，我们确定了用 Woven EndoBridge（WEB）装置和支架辅助线圈（SAC）栓塞治疗未破裂的颈内动脉分叉动脉瘤（WNBA）在手术时间、辐射剂量、透视时间和造影剂总剂量方面是否存在显著差异。材料与方法在2021年8月至2022年12月期间，使用WEB装置和SAC栓塞（14:17）治疗了31例颈内动脉分叉、前交通动脉、大脑中动脉分叉和基底动脉分叉动脉瘤。对比分析了两组治疗的手术时间、辐射剂量、透视时间和造影剂总剂量。结果WEB设备组的手术时间和透视时间明显更短。WEB 装置组的手术时间和透视时间明显更短，放射剂量和造影剂总剂量也明显更小，但操作者之间的结果没有显著差异。结论WEB装置可作为WNBA现有血管内治疗方法中的一种替代治疗方法，在适当的适应症下使用可减少辐射暴露和造影剂剂量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.