在老年患者中,急性缺血性中风的内血管血栓切除术具有较大的缺血性核心
Qian Liu1, Jinghuan Fang1, Xin Jiang1
1Department of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, China.
概括
大型缺血性中风核心的老年患者的内血管治疗 (EVT) 显示出潜在的益处,但增加了内出血的风险. 需要仔细考虑这个脆弱的人群.
科学领域:
- 神经学 神经学
- 干预心脏病学 干预心脏病学
- 老年医学 老年医学
背景情况:
- 患有大缺血性中风核心的老年患者面临着糟糕的结果.
- 在这个人群中,内血管治疗 (EVT) 的好处和风险需要理解.
研究的目的:
- 调查EVT在老年患者 (≥70岁) 具有大缺血核心的有效性和风险.
- 为了确定3个月后公平的功能状态 (修改的排名表≤3) 的主要结果.
主要方法:
- 追溯分析182名老年中风患者的大缺血核心 (ASPECTS <6或核心体积≥70毫升).
- 从2018年6月至2022年1月期间从前性数据库收集的数据.
- 在EVT和非EVT组之间的结果比较.
主要成果:
- 20.9%的患者取得了公平的结果; 49.5%的患者在3个月内死亡.
- 在85岁以下的患者或≥50毫升不匹配体积的患者中,EVT在数值上有利于结果.
- EVT与症状性内出血的风险显著增加有关 (aOR 4.24).
结论:
- 患有大心脏病发作的老年患者在3个月内表现不佳.
- EVT可能会带来一些好处,但在这个群体中增加了内出血的风险.
- 关于EVT的临床决定需要仔细评估风险和益处.
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