Institut Montpelliérain Alexander, Grothendieck, Univ. Montpellier, Montpellier, France.
Interventional radiology Department. Universidad Autónoma de Bucaramanga, Bucaramanga, Colombia.
Interv Neuroradiol. 2023 Feb;29(1):47-55. doi: 10.1177/15910199211068668. Epub 2021 Dec 30.
This study evaluated the clinical impact of the Sim&Size® simulation software on the endovascular treatment with flow-diverter stents of patients with unruptured saccular intracranial aneurysms.
This monocentric retrospective study evaluated a cohort of patients treated with flow-divert stents between June 1, 2014, and December 31, 2019, for cerebral aneurysms. Patients belonged to two groups, patients treated with and without the Sim&Size® simulation software. Univariate, bivariate, and multivariate analyses were used to evaluate the clinical impact of simulation software.
Out of the 73 interventions involving 68 patients analyzed by the study, 76.7% were simulated using the Sim&Size® simulation software, and 23.3% were not. Patients treated with the simulation software had shorter stent lengths (16.00 mm vs. 20.00 mm -value = 0.001) and surgical time (100.00 min vs. 118.00 min -value = 0.496). Also, fewer of them required more than one stent (3.6% vs. 17.6% -value = 0.079). Three patients belonging to the non-stimulated group presented hemorrhagic complications.
Using the Sim&Size® simulation software for the endovascular treatment of intracranial aneurysms with pipeline flow-diverter stents reduces the stent length.
本研究评估了 Sim&Size®模拟软件对颅内未破裂囊状动脉瘤血管内治疗中血流导向支架的临床影响。
本单中心回顾性研究评估了 2014 年 6 月 1 日至 2019 年 12 月 31 日期间因脑动脉瘤接受血流导向支架治疗的患者队列。患者分为两组，一组接受 Sim&Size®模拟软件治疗，另一组未接受。使用单变量、双变量和多变量分析评估模拟软件的临床影响。
在本研究分析的 73 例涉及 68 例患者的介入治疗中，76.7%使用了 Sim&Size®模拟软件进行模拟，23.3%未使用。使用模拟软件治疗的患者支架长度更短（16.00mm 与 20.00mm -值=0.001）和手术时间更短（100.00min 与 118.00min -值=0.496）。此外，需要使用超过一个支架的患者较少（3.6%与 17.6% -值=0.079）。在未接受刺激的组中有 3 名患者出现了出血并发症。
在颅内动脉瘤的血管内治疗中使用 Sim&Size®模拟软件对Pipeline 血流导向支架进行治疗可减少支架长度。
