症状基础动脉狭窄的内血管治疗方法
Jae Ho Kim1, Kwang-Chun Cho2, Taemin Kim3
1Department of Neurosurgery, Chosun University Hospital, Chosun University College of Medicine, Gwangju, Korea.
Neurointervention
|October 19, 2023
概括
血管内治疗 (EVT) 对症状基础动脉狭窄不响应药物的治疗有希望. 然而,由于潜在的并发症,仔细选择患者至关重要,特别是在以前心脏病发作的人群中.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 症状基础动脉 (BA) 狭窄增加了中风风险.
- 对抗血小板治疗不耐药的患者的治疗尚不清楚.
研究的目的:
- 为了追溯评估症状性BA狭窄的内血管治疗 (EVT) 结果.
- 评估EVT在耐医疗治疗的患者中的安全性和有效性.
主要方法:
- 从2006年至2018年,对15名患有症状的BA狭窄症的患者进行了EVT (血管造形/支架) 的回顾性审查.
- 患者经历了TIA或中风,尽管双重抗血小板治疗.
- 通过修改的兰金尺度 (mRS) 和血管造影随访来评估结果.
主要成果:
- 在所有患者中成功进行EVT.
- 33%的人经历了术前/术后并发症 (静脉栓塞,出血,关节梗塞).
- 73.3%的人获得了有利的长期功能结果 (mRS≤2);不利的结果与以前的心脏病发作有关.
结论:
- EVT可能是症状性BA狭窄性耐药性治疗的可行的选择.
- 这种手术存在严重的并发症风险,特别是在严重的狭窄/心脏病前发作的情况下.
- 根据临床和放射学标准进行仔细的患者选择至关重要.
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