Comparison of Woven EndoBridge device sizing with conventional measurements and virtual simulation using the Sim&Size software: a multicenter experience

医学 虚拟病人 尺寸 单变量分析 动脉瘤 核医学 多元分析 放射科 内科学 艺术 视觉艺术 医学教育
作者
Fédérico Cagnazzo,Gaultier Marnat,I. Coelho Ferreira,Pierre Daubé,Imad Derraz,Cyril Dargazanli,Pierre-Henri Lefevre,Grégory Gascou,Carlos Riquelme,Riccardo Morganti,Jérôme Berge,Florent Gariel,Xavier Barreau,Vincent Costalat
出处
期刊:Journal of NeuroInterventional Surgery [BMJ]
卷期号:13 (10): 924-929 被引量:13
标识
DOI:10.1136/neurintsurg-2020-017060
摘要

Background Selection of the appropriate device size mandatory during aneurysm treatment with a Woven EndoBridge (WEB). We aimed to investigate if virtual simulation with Sim&Size software may have an impact on technical, angiographic, and clinical outcomes after WEB treatment. Methods Data from two large-volume centers were collected and compared (January 2017–January 2020). Virtual simulation was systematically adopted in one center, while conventional sizing was used in the other one. Outcomes were the duration of intervention, the radiation dose (in milligrays, the number of corrective interventions for inappropriate WEB size, the number of WEBs not deployed, angiographic occlusion, and complications. Univariate and multivariate linear models were adopted. Results A total of 186 aneurysms were treated with WEB (109 with and 77 without virtual simulation). Patient characteristics and aneurysm features were comparable among virtual and conventional sizing, except for mean age (62.2±11.8 years and 56.2±10.1 years, P=0.0004) and median aspect ratio (1.6, IQR=1.2–2 and 1.2, IQR=1–1.6, P=0.0001). Years of operator experience were comparable. Virtual simulation was independently associated with shorter intervention time (45 min, IQR=33–63.5 min vs 63.5 min, IQR=41–84.7 min, P=0.0001), lower radiation dose (1051 mGy, IQR=815–1399 mGy vs 1207 mGy, IQR=898–2084 mGy, P=0.0001), and lower number of WEBs not deployed (26/77=33.7% vs 8/109=7.3%, P=0.0001). The need for additional maneuvers was significantly lower in the virtual simulation group (5/109=4.6% vs 12/77=15.6%, P=0.021). Angiographic outcomes and complications were comparable. Conclusions In this multicenter experience, virtual simulation with Sim&Size software seems to facilitate the selection of the appropriate WEB device for aneurysm treatment, reducing the time of intervention, the radiation dose, the number of devices not deployed, and the need for corrective interventions. Trial registration number clinicaltrials.gov Identifier: NCT04621552 .
最长约 10秒,即可获得该文献文件

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
HGalong应助LIN采纳,获得10
5秒前
共享精神应助猪头军师采纳,获得10
6秒前
小白完成签到,获得积分10
6秒前
顾北寒完成签到,获得积分10
10秒前
小蘑菇应助李伟采纳,获得10
11秒前
12秒前
bkagyin应助yy采纳,获得10
18秒前
18秒前
桐桐应助安详青采纳,获得10
19秒前
22秒前
25秒前
26秒前
快快乐乐发布了新的文献求助10
28秒前
wanci应助Sherry采纳,获得10
28秒前
Ruler完成签到 ,获得积分10
30秒前
巴山夜雨完成签到,获得积分10
30秒前
30秒前
Jialing发布了新的文献求助10
31秒前
32秒前
32秒前
37秒前
37秒前
40秒前
王尚敏完成签到,获得积分20
41秒前
41秒前
白小纯完成签到,获得积分10
42秒前
猪头军师发布了新的文献求助10
42秒前
七月流火应助overThat采纳,获得50
45秒前
王尚敏发布了新的文献求助10
45秒前
快快乐乐完成签到,获得积分10
45秒前
王崇霖完成签到 ,获得积分10
45秒前
湘澜完成签到,获得积分10
48秒前
叉猹的闰土完成签到,获得积分20
49秒前
灵试巧开完成签到 ,获得积分10
50秒前
一艘航母完成签到,获得积分10
52秒前
甜甜芾完成签到,获得积分10
56秒前
liu66发布了新的文献求助10
58秒前
6188完成签到 ,获得积分10
59秒前
LVVVB完成签到,获得积分10
1分钟前
1分钟前
高分求助中
The three stars each: the Astrolabes and related texts 1120
Electronic Structure Calculations and Structure-Property Relationships on Aromatic Nitro Compounds 500
Revolutions 400
Psychological Warfare Operations at Lower Echelons in the Eighth Army, July 1952 – July 1953 400
宋、元、明、清时期“把/将”字句研究 300
Classroom Discourse Competence 260
我在山東當院長:一位中國大學小官的自白 230
热门求助领域 (近24小时)
化学 材料科学 医学 生物 有机化学 工程类 生物化学 纳米技术 物理 内科学 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 电极 光电子学 量子力学
热门帖子
关注 科研通微信公众号,转发送积分 2437543
求助须知:如何正确求助?哪些是违规求助? 2117341
关于积分的说明 5375693
捐赠科研通 1845453
什么是DOI,文献DOI怎么找? 918350
版权声明 561712
科研通“疑难数据库(出版商)”最低求助积分说明 491261