恶性病态是否会影响大血管封闭性中风和癌症患者的结果,这些患者接受了内血管血栓切除术?
Fatma Shalabi1, Tzvika Sacagiu1, Asaf Honig1
1Department of Neurology Hadassah-Hebrew University Medical Center Jerusalem Israel.
Journal of the American Heart Association
|July 8, 2023
概括
由于急性缺血性中风而接受血管内血栓切除术的癌症患者具有类似的功能结果,但当癌症活跃时,死亡率更高. 这表明该程序对癌症患者来说是安全有效的.
科学领域:
- 神经学 神经学
- 在瘤学瘤学.
- 干预心脏病学 干预心脏病学
背景情况:
- 癌症增加了急性缺血性中风的风险,特别是大血管封闭.
- 活跃癌症对中风内血管血栓切除术后的结果的影响尚不清楚.
研究的目的:
- 调查活跃癌症状态是否影响大血管封闭症患者接受内血管血栓切除术的结果.
主要方法:
- 一个潜在的多中心数据库的回顾性分析,该数据库是针对大血管封闭的内血管血栓切除术患者的数据库.
- 活跃癌症患者与缓解癌症或癌症病史患者的比较.
- 多变量分析以评估癌症状况与90天功能结果和死亡率的关联.
主要成果:
- 确定了154名患有癌症和大血管封闭的患者;84名患有活跃癌症.
- 在90天后,积极的功能结果在活跃癌症患者和没有癌症患者之间没有显著差异.
- 活跃癌症患者的死亡率明显高于没有活跃癌症的患者.
结论:
- 血管内血栓切除术对于患有大血管封闭症的患者来说是一种安全有效的治疗方法,无论癌症状况是否活跃或有恶性病史.
- 活跃癌症与急性缺血性中风的内血管血栓切除术后的死亡率增加有关.
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