脊柱动脉茎综合征的内血管再通道化的综合分类
Wenbin Zhang1, Chao Li1, Mingchao Shi1
1Department of Neurology, The First Bethune Hospital of Jilin University, Changchun, Jilin, China.
Journal of interventional medicine
|July 6, 2023
概括
血管内血栓切除术 (EVT) 有效地治疗脊椎动脉茎综合征 (VASS). 一个新的分类系统有助于预测手术困难,并指导干预以获得更好的患者结果.
科学领域:
- 神经学 神经学
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
背景情况:
- 脊椎动脉茎综合征 (VASS) 是一种复杂的疾病,影响后部循环中风.
- 治疗策略需要仔细考虑解剖学和病理学因素.
研究的目的:
- 为了呈现一个单一中心在治疗VASS的经验.
- 根据解剖发育,近位和远位条件评估VASS的新型分类系统 (PAD).
- 评估这种分类在指导内血管治疗中的作用.
主要方法:
- 在2016年至2021年期间,对15名VASS患者进行了内血管血栓切除 (EVT) 治疗的回顾性分析.
- 患者在后部循环中发生了急性缺血性中风,内动脉封闭和脊椎动脉起源封闭.
- 数字减去血管学证实了诊断;分析了临床数据.
主要成果:
- 总体而言,EVT重新道化成功率为80%.
- 靠近和远距离的再通道化率分别为70.6%和91.7%.
- 术后并发症发生在33.3%的患者中,距离栓塞发生在20%的患者中.
结论:
- 在技术上,EVT是对VASS的可行且有效的治疗方法.
- 综合的PAD分类系统显示了估计外科手术难度和指导干预程序的潜力.
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