在最初事件发生半年后,内动脉剖析的复发
Naoki Makita1, Ryotaro Ishii2, Yoshitaka Yamaguchi3
1Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan; Department of Neurology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Journal of the neurological sciences
|June 28, 2023
概括
在最初事件发生后7个月内,3.9%的患者出现了反复的内动脉剖析 (IAD). 长期跟踪对于管理IAD和预防复发至关重要.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 脑血管疾病 脑血管疾病
背景情况:
- 内动脉解剖 (IAD) 的长期病程和治疗方法尚不清楚.
- 由于对其长期预后的知识有限,缺乏IAD管理的既定指南.
研究的目的:
- 为了追溯研究在没有初始下关节出血 (SAH) 的患者中内动脉剖析 (IAD) 的长期过程.
- 确定复发性IAD的发生率和时间以及相关的临床结果.
主要方法:
- 对103名连续自发首次IAD患者的回顾性分析,没有SAH.
- 根据在最初事件发生>1个月后发生的剖析事件,患者被分为复发和非复发组.
- 两组之间的临床特征和随访数据进行了比较.
主要成果:
- 平均随访期为33个月.
- 在最初事件发生后7个月以上的4名患者 (3.9%) 中发生了复发性IAD,基线特征没有显著差异.
- 九名患者 (8.7%) 在最初事件的1个月内经历了缺血性中风.
结论:
- 在IAD患者中,很少但很大一部分患者在最初事件发生后7个月以上经历了复发性剖析.
- 建议IAD患者进行长时间的随访,超过6个月,以监测潜在的复发.
- 对IAD的复发预防策略进行进一步研究是有必要的.
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