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内动脉曲和缺血性中风之间的关联:基于人口的横截面研究

Yang Liu¹, Lu Ni², Chun Wang¹

¹Department of Neurology, First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

|November 4, 2023

概括

内动脉 (ICA) 扭曲与缺血性中风的更高风险有关,特别是小动脉封闭 (SAO). 早期查和治疗动脉扭曲可能有助于预防中风.

科学领域:

神经学神经学
血管医学血管医学
放射学放射学是指放射学

背景情况:

内动脉 (ICA) 扭曲与缺血性中风的关联仍在争论中.
了解ICA扭曲性在中风亚型中的作用对于风险分层至关重要.

研究的目的:

调查ICA扭曲和缺血性中风风险之间的关联.
检查ICA扭曲和特定缺血性中风亚型之间的关系:大动脉动脉样硬化 (LAA) 和小动脉阻塞 (SAO).

主要方法:

在419名门诊患者的横截面研究.
使用头部和部计算机断层扫描血管学 (CTA) 评估ICA扭曲.
缺血性中风风险通过埃森中风风险评分 (ESRS) 评估;亚型 (LAA,SAO) 通过头部MRI确定.

主要成果:

艾卡曲的流行率为31.5%.
ICA扭曲与ESRS得分增加相关,特别是在50岁以上的患者中.
ICA扭曲显著增加了小动脉封闭 (SAO) 的风险10.34倍.

结论:

这些发现支持ICA扭曲在缺血性中风中的作用.
早期查和管理动脉扭曲可能是一个可行的中风预防策略.

关键词:

内动脉是内动脉的一个组成部分.缺血性中风是因为缺血性中风.这就是Kinking.大动脉动脉硬化大动脉动脉硬化小动脉封闭小动脉封闭

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