大脑附带流对心脏病发作后脑筋梗塞的结果的影响
Liang-Ju Chen1, Chi-Kuang Liu2, Shih-Chun Wang2
1Department of Health Business Administration, Hungkuang University, Taichung City, Taiwan.
Annals of clinical and translational neurology
|September 2, 2023
概括
前部循环流动方向的变化 (ACFDC) 和眼动脉/胸膜内膜异位症 (ROALA) 的逆转,预测在心血管支架后会出现复发性中风. 预测成像对于预测内动脉狭窄症患者的结果至关重要.
科学领域:
- 神经科学是一个神经科学.
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 内动脉狭窄是复发性缺血性中风的主要原因.
- 了解附带循环动态对于预测中风复发至关重要.
- 动脉支架是管理动脉狭窄的常见干预措施.
研究的目的:
- 评估反复冲动与前置附带流动方向变化之间的关联.
- 为了研究额外和内动脉在预测中风复发中的相互作用.
- 为了确定前部循环流动方向变化 (ACFDC) 和眼动脉/乳腺脉缩 (ROALA) 逆转的预测值,用于复发性中风.
主要方法:
- 一项对234名中风患者进行的纵向研究,这些患者接受了动脉支架.
- 在支架之前使用跨色编码双重传输 (TCCD) 评估ACFDC和ROALA.
- 重复性中风是主要结果,使用卡普兰-梅尔图表和考克斯回归分析9年的随访时间.
主要成果:
- 在115名患者中发生了复发性中风.
- 与单独使用ACFDC相比,左侧ACFDC和ROALA与明显更差的结果有关.
- 左侧ACFDC显示出比右侧ACFDC更糟糕的结果 (p < 0.001).
- 右侧,左侧或两侧的ACFDC显著增加了复发性中风的风险 (HR > 20,p < 0.01).
结论:
- 前部循环流动方向的变化是单侧动脉狭窄症患者中复发性中风的重要预测因素.
- ACFDC和ROALA的联合存在表明预后较差.
- 支架前的TCCD成像为预测 carotid支架后的结果提供了关键信息.
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