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Computer-assisted microcatheter shaping for intracranial aneurysm embolization: evaluation of safety and efficacy in a multicenter randomized controlled trial

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收录情况： ◇ SCIE

作者：
Yang Heng[1,2,3] * ; Ni Wei[1,2,3] * ; Xu Liquan[1,2,3] ; Geng Jiewen[4,5] ; He Xuying[6] ; Ba Huajun[7] ; Yu Jianjun[8] ; Qin Lan[9] ; Yin Yin[9] ; Huang Yufei[9] ; Zhang Hongqi[4,5] ; Gu Yuxiang[1,2,3,*1] ;
机构： [1]Department of Neurosurgery, Fudan University Huashan Hospital, Shanghai, Shanghai, China [2]National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China [3]Shanghai Clinical Medical Center of Neurosurgery, Shanghai, People’s Republic of China [4]China International Neuroscience Institute (China-INI), Beijing, People’s Republic of China [5]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, People’s Republic of China [6]Neurosurgery Center, Department of Cerebrovascular Surgery, Engineering Technology Research Center of Education Ministry of China on Diagnosis and Treatment of Cerebrovascular Disease, Zhujiang Hospital, Southern Medical University, Guangzhou, People’s Republic of China [7]Department of Neurosurgery, The Central Hospital of Wenzhou City, Wenzhou, People’s Republic of China [8]Department of Neurosurgery, Linyi People’s Hospital, Linyi, People’s Republic of China [9]Department of R&D, UnionStrong (Beijing) Technology Co.Ltd, Beijing, People’s Republic of China
出处：
DOI： 10.1136/jnis-2023-020104
ISSN：

摘要：
This study aimed to evaluate the efficacy, stability, and safety of computer-assisted microcatheter shaping (CAMS) in patients with intracranial aneurysms.A total of 201 patients with intracranial aneurysms receiving endovascular coiling therapy were continuously recruited and randomly assigned to the CAMS and manual microcatheter shaping (MMS) groups. The investigated outcomes included the first-trial success rate, time to position the microcatheter in aneurysms, rate of successful microcatheter placement within 5 min, delivery times, microcatheter stability, and delivery performance.The rates of first-trial success (96.0% vs 66.0%, P<0.001), successful microcatheter placement within 5 min (96.04% vs 72.00%, P<0.001), microcatheter stability (97.03% vs 84.00%, P=0.002), and 'excellent' delivery performance (45.54% vs 24.00%, P<0.001) in the CAMS group were significantly higher than those in the MMS group. Additionally, the total microcatheter delivery and positioning time (1.05 minutes (0.26) vs 1.53 minutes (1.00)) was significantly shorter in the CAMS group than in the MMS group (P<0.001). Computer assistance (OR 14.464; 95% CI 4.733 to 44.207; P<0.001) and inflow angle (OR 1.014; 95% CI 1.002 to 1.025; P=0.021) were independent predictors of the first-trial success rate. CAMS could decrease the time of microcatheter position compared with MMS, whether for junior or senior surgeons (P<0.001). Moreover, computer assistance technology may be more helpful in treating aneurysms with acute angles (p<0.001).The use of computer-assisted procedures can enhance the efficacy, stability, and safety of surgical plans for coiling intracranial aneurysms.© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.

基金：
This work was financially supported by grants 2014CB541604, 2016YFC1301704, and 2016YFSF110141 from the National Ministry of Science and Technology; grants 81500987, 817712374, 81801155, 81870917, and 82101397 from the National Natural Science Foundation of China; grant SHDC2020CR1018B from Shanghai Shenkang Hospital Development Center; grant 2018SHZDZX03 from the Shanghai Municipal Science and Technology Major Project; and grant 2016YFC1300800 from the National Key R&D Program of China.
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外文
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WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2023]版：
大类 | 1 区 医学
小类 | 1 区 神经成像 1 区 外科
最新[2025]版：
大类 | 2 区 医学
小类 | 1 区 神经成像 1 区 外科
JCR分区：
出版当年[2022]版：
Q1 NEUROIMAGING Q1 SURGERY
最新[2023]版：
Q1 NEUROIMAGING Q1 SURGERY

影响因子： 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者：
第一作者机构： [1]Department of Neurosurgery, Fudan University Huashan Hospital, Shanghai, Shanghai, China [2]National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China [3]Shanghai Clinical Medical Center of Neurosurgery, Shanghai, People’s Republic of China
共同第一作者：
通讯作者：
通讯机构： [1]Department of Neurosurgery, Fudan University Huashan Hospital, Shanghai, Shanghai, China [2]National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China [3]Shanghai Clinical Medical Center of Neurosurgery, Shanghai, People’s Republic of China [*1]Department of Neurosurgery, Huashan Hospital Fudan University, Shanghai, Shanghai, 200040, China
推荐引用方式(GB/T 7714)：
Yang Heng,Ni Wei,Xu Liquan,et al.Computer-assisted microcatheter shaping for intracranial aneurysm embolization: evaluation of safety and efficacy in a multicenter randomized controlled trial[J].JOURNAL OF NEUROINTERVENTIONAL SURGERY.2024,16(2):177-182.doi:10.1136/jnis-2023-020104.
APA：
Yang Heng,Ni Wei,Xu Liquan,Geng Jiewen,He Xuying...&Gu Yuxiang.(2024).Computer-assisted microcatheter shaping for intracranial aneurysm embolization: evaluation of safety and efficacy in a multicenter randomized controlled trial.JOURNAL OF NEUROINTERVENTIONAL SURGERY,16,(2)
MLA：
Yang Heng,et al."Computer-assisted microcatheter shaping for intracranial aneurysm embolization: evaluation of safety and efficacy in a multicenter randomized controlled trial".JOURNAL OF NEUROINTERVENTIONAL SURGERY 16..2(2024):177-182

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