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混合手术重新道化用于高水平的慢性内动脉闭塞

Yuankun Cai¹, Tingbao Zhang¹, Lesheng Wang¹

¹Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.

Frontiers in neurology

|July 7, 2023

概括

混合手术,结合动脉内关节切除和支架,为复杂的慢性内动脉阻塞 (CICAO) 提供安全有效的治疗方法. 再通道化成功与闭塞有关.

科学领域:

血管外科血管外科
干预神经病学干预神经病学
心血管研究研究心血管研究

背景情况:

慢性内动脉阻塞 (CICAO) 提出了治疗挑战,内血管方法显示复杂病例的成功率不足.
复杂的CICAO需要先进的外科手术方法来恢复血液流动并预防神经系统并发症.

研究的目的:

为了评估复杂的CICAO的混合手术方法 (心血管内关节切除术加上心血管支架) 的安全性和有效性.
确定影响复杂CICAO患者混合手术再通道化成功的因素.

主要方法:

在2016年12月至2020年12月期间,对22名复杂CICAO患者进行了混合手术治疗的回顾性分析.
对临床,成像和随访数据的审查,重点关注混合再通道化的技术方面和结果.

主要成果:

混合手术在22名复杂的CICAO患者中实现了86.4%的再通道成功率,没有术后死亡.
损伤分类和手术前逆眼动脉血流与再通道成功有显著的相关性 (P=0.019和P=0.038).
成功的再道导致卡诺夫斯基绩效量表 (KPS) 的得分得到改善 (P < 0.001).

结论:

混合手术对于复杂的CICAO来说是一种安全有效的选择,产生高的再通道率.
与眼动脉相比,闭塞的解剖学程度是确定再通道成功的关键因素.

关键词:

冠状动脉支架 (CAS) 是一种冠状动脉支架.冠状动脉内关节切除术 (CEA)慢性内动脉闭塞慢性内动脉闭塞混合手术混合手术混合手术重新道化重新道化

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