对动脉网和动脉样硬化疾病的支架进行比较分析
Ehizele M Osehobo1,2, Raul G Nogueira1,2, Nilushi Karunamuni1,2
1Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
概括
冠状动脉网 (CaW) 支架技术上比冠状动脉样硬化病 (CAD) 支架简单,没有增加并发症风险. 这项研究发现,CaW支架是一种安全有效的治疗缺血性中风.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
背景情况:
- 冠状动脉网 (CaW) 是缺血性中风的一个新出现的原因.
- 内血管支架是对CaW的可行的治疗方法.
- 对 CaW 支架的安装可能比对动脉样硬化病 (CAD) 的支架更不复杂.
研究的目的:
- 为了比较CaW与CAD的支架的程序特征.
- 评估对CaW进行支架的安全性和有效性.
- 评估CaW支架的技术复杂性和并发症率.
主要方法:
- 对118名患者进行了回顾性分析,这些患者接受了针对症状性CAD或CaW的选择性内血管支架安置.
- 从2014年到2021年在一个综合性中风中心收集的数据.
- 在CaW和CAD组之间比较手术时间,辐射暴露,气球血管整形术的使用和周围手术并发症.
主要成果:
- 与CAD患者相比,CaW患者更年轻,更有可能是女性.
- 与CAD相比,用于CaW的支架需要更少的程序时间,辐射暴露和气球血管造形术.
- 没有观察到周围手术并发症 (如低血压,血管压缩剂使用或心拍等) 的显著差异.
- 在随访期间,在CaW患者中没有观察到复发性中风/TIA和实体静止症.
结论:
- 对CaW进行支架技术上比对CAD更简单.
- CaW 支架不增加巴罗受体调节失调的风险.
- 在CaW支架后,内体增生不常见.
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