在急性缺血性中风的内血管治疗期间血管穿孔的临床后果
P Matthijs van der Sluijs1, R Su2, S A P Cornelissen2
1Department of Radiology and Nuclear Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands. p.vandersluijs@erasmusmc.nl.
Neuroradiology
|November 27, 2023
概括
在中风内血管治疗期间血管穿孔不常见,但会导致更糟糕的结果. 女性性别和远端闭塞增加了穿孔风险.
科学领域:
- 神经学 神经学
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 内血管治疗 (EVT) 是急性缺血性中风的关键疗法.
- 血管穿孔是EVT期间的潜在并发症.
- 了解穿孔发生率和结果对于患者安全至关重要.
研究的目的:
- 为了确定在EVT期间血管穿孔的发生率和风险因素.
- 评估血管穿孔对功能结果的影响.
- 调查穿孔位置与结果之间的关联.
主要方法:
- 对一个大型 EVT 注册表 (MR CLEAN 注册表) 的分析.
- 使用数字减去血管学 (DSA) 识别血管穿孔.
- 后勤回归模型用于分析风险因素和功能结果 (90天后修改的兰金表).
主要成果:
- 血管穿孔发生在2.6%的EVT手术中.
- 女性性别和远端闭塞位置与更高的穿孔风险有关.
- 血管穿孔显著恶化了功能结果 (acOR 0.38).
结论:
- 与EVT相关的血管穿孔的发生率很低,但在临床上是显著的.
- 女性患者和患有远端闭塞的患者面临着穿孔风险的增加.
- 穿孔位置在本研究中没有显著影响功能结果.
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