慢性硬膜下血肿的血管造影分类。

IF 0.9 4区 医学 Q4 CLINICAL NEUROLOGY
Josef Michael Kupka, Patrick Thurner, Tilman Schubert, Nicolin Hainc, Menno Robbert Germans, Zsolt Kulcsár
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引用次数: 0

摘要

背景和目的:慢性硬膜下血肿(cSDH)是一种具有挑战性的病理,手术治疗后复发率高,可能严重影响患者的生活质量。伴随血管生成的膜形成在疾病的演变过程中起着重要作用,为血管内治疗提供了一个很有前景的靶点。我们的目标是对慢性硬膜下血肿的血管造影模式进行分类,以便进行标准化报告:在对前瞻性数据收集的回顾性分析中,我们分析了 2019 年 2 月至 2020 年 6 月期间在我院接受栓塞治疗的所有高复发风险 cSDH 患者的血管造影特征。共有 17 名患者被纳入分析:根据脑膜中动脉(MMA)在两个标准AP和侧视图中的超选择血管造影,硬膜供应被定义为三个不同的类别:正常血管形态(I级)、MMA分支无扩大的棉絮状外观(II级)和MMA分支扩张重塑的强棉絮状染色(III级):所提出的 cSDH 血管造影分级系统代表了该疾病的病理生理演变过程,应与治疗成功率相关联,并可应用于未来的临床研究中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Angiographic classification of chronic subdural hematoma.

Background and purpose:

Chronic subdural hematoma (cSDH) is a challenging pathology with high recurrence rate after surgical treatment and may seriously affect the patient’s quality of life. Membrane formation with angiogenesis plays an important role in the evolution of the disease, providing a promising target for endovascular therapy. Our goal is to categorize angiographic patterns of chronic subdural hematoma for standardized reporting purposes.

.

Methods:

In our retrospective analysis of prospective data collection, we analyzed angiographic properties of all high recurrence risk patients with cSDH, who were treated by embolization in our hospital between February 2019 and June 2020. Altogether 17 patients were included in the analysis. 

.

Results:

Based on superselective angiography of the middle meningeal artery (MMA) in the two standard, AP and lateral views, three distinct categories of dural supply were defined: normal vascular pattern (Grade I), cottonwool appearance without enlargement of the MMA branches (Grad II) and strong cottonwool like staining with dilatative remodelling of the MMA branches (Grade III).

.

Conclusion:

The proposed grading system of the angiographic appearance of cSDH, representing the pathophysiological evolution of the disease should be correlated to therapeutic success rates and could be applied in future clinical studies.

.

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来源期刊
Ideggyogyaszati Szemle-Clinical Neuroscience
Ideggyogyaszati Szemle-Clinical Neuroscience CLINICAL NEUROLOGY-NEUROSCIENCES
CiteScore
1.30
自引率
0.00%
发文量
40
审稿时长
>12 weeks
期刊介绍: The aim of Clinical Neuroscience (Ideggyógyászati Szemle) is to provide a forum for the exchange of clinical and scientific information for a multidisciplinary community. The Clinical Neuroscience will be of primary interest to neurologists, neurosurgeons, psychiatrist and clinical specialized psycholigists, neuroradiologists and clinical neurophysiologists, but original works in basic or computer science, epidemiology, pharmacology, etc., relating to the clinical practice with involvement of the central nervous system are also welcome.
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