在对类动脉瘤的支架辅助卷轴过程中,手术内静脉栓塞的危险因素
1Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Frontiers in neurology
|January 29, 2024
概括
在状动脉瘤中进行的手术内静脉栓塞与尺寸比率和腺二酸盐抑制有关. 对于大尺寸比率,外科医生应该考虑双重抗血小板治疗.
科学领域:
- 神经外科 神经外科
- 干预性神经辐射学
- 血管外科 血管外科
背景情况:
- 术内静脉栓塞 (IST) 是对状动脉瘤 (PAs) 的支架辅助卷轴 (SAC) 期间的一个关键并发症.
- 识别IST的预测因素对于改善患者的治疗结果和程序安全至关重要.
研究的目的:
- 为了确定在患者进行支架辅助卷曲 (SAC) 进行状动脉瘤 (PAs) 的手术内静脉栓塞 (IST) 的独立风险因素.
主要方法:
- 对172名接受SAC的PA患者进行了回顾性研究,分为IST (n=12) 和非IST (n=160) 组.
- 分析了临床特征,动脉瘤形态和实验室参数.
- 使用多变量逻辑回归和ROC曲线分析来确定独立的风险因素.
主要成果:
- IST的独立风险因素包括尺寸比 (SR) (OR=3.909),腺二酸盐 (ADP) 抑制 (OR=0.967) 和反应时间 (R) (OR=0.326).
- 综合因素显示SR的AUC为0.870,截止值为2.46 .
- 对ADP抑制和R的临界值分别为69.90%和4.65.
结论:
- 尺寸比 (SR),ADP抑制和反应时间 (R) 是用SAC治疗的PA中IST的独立风险因素.
- 对于具有很大的SR的PA,在SAC之前应考虑长期的双重抗血小板治疗.
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