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桥梁治疗期间紧急支架的安全性和有效性:单中心回顾性研究

Zhengwen Chen^1,2, Yaoyu Ying^3,4, Xiaojian Lu⁵

¹Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China, sudaczw@163.com.

Cerebrovascular diseases (Basel, Switzerland)

|September 17, 2023

概括

在缺血性中风的桥梁治疗期间的紧急支架是安全有效的. 这种程序不会增加出血转变或死亡的风险,改善患者的治疗结果.

科学领域:

神经学神经学
干预心脏病学干预心脏病学
血管外科血管外科

背景情况:

缺血性中风的治疗通常涉及桥梁治疗.
应急支架与桥梁疗法的作用需要进一步评估安全性和有效性.

研究的目的:

研究在接受桥梁治疗的缺血性中风患者中紧急支架的安全性和有效性.
为了比较接受紧急支架的患者和没有接受紧急支架的患者之间的结果.

主要方法:

一项比较研究包括接受缺血性中风桥梁治疗的患者.
倾向性得分匹配 (1:1) 用于控制混变量.
评估了安全结果 (出血,死亡率) 和疗效结果 (再通道化,功能结果).

主要成果:

在紧急支架组和没有支架组之间没有观察到内出血或死亡率的显著差异,即使在倾向得分匹配后也是如此.
虽然初步分析表明,随着支架的再通道化率更高,但在倾向性得分匹配后,这种差异消失了.
两个组在3个月后的良好功能结果在两个组之间是相似的.

结论:

紧急支架是缺血性中风桥梁治疗的安全有效补充.
该程序不会增加出血并发症或死亡的风险.
它提供的功能结果与单独的桥梁疗法相提并论.

关键词:

应急插入支架的情况.血管内治疗血管内治疗在静脉内进行血栓溶解.

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