在前循环机械血栓切除术中,栓塞的预测因素是前循环中风
Yongho Kwon1, Ho Jun Yi1,2,3, Dong-Seong Shin1
1Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.
Current neurovascular research
|March 5, 2024
概括
机械血栓切除术 (MT) 可以导致栓塞. 诸如较大的微导管和凝块通道等因素增加了风险,而气球导管和较长的支架取回器可能会减少MT期间的栓塞.
科学领域:
- 神经学 神经学
- 干预性神经放射学 干预性神经放射学
- 血管外科 血管外科
背景情况:
- 栓塞是机械血栓切除术 (MT) 的常见并发症.
- 了解预测栓塞的因素对于优化MT程序至关重要.
- 识别这些因素可以改善患者的治疗结果,并减少手术风险.
研究的目的:
- 为了确定机械血栓切除术后栓塞发生的预测因素.
- 分析程序技术与栓塞事件之间的关联.
- 为在MT期间减轻栓塞提供见解.
主要方法:
- 对601名接受MT治疗的患者进行了回顾性分析,以检查前部循环封闭并成功进行再输血.
- 栓塞的定义包括在数字减去血管学 (DSA) 上的远端栓塞或在扩散权重成像 (DWI) 上的意外栓塞性心脏病发作.
- 使用多变量逻辑回归分析来确定瘤的预测因素.
主要成果:
- 在52.9%的患者中发生了栓塞 (318/601).
- 栓塞的预测因素包括使用更大的微导管 (OR 1.26) 和血块通过 (OR 1.33).
- 栓塞风险降低与使用气球导导管 (BGC) (OR 0.70),早期BGC气球 (OR 0.68) 和更长的支架取回器 (OR 0.72) 相关.
结论:
- 涉及较大的微导管和血栓通道的机械血栓切除技术可能会增加栓塞风险.
- 使用气球导导管,早期气球和更长的支架取回器可能会减少栓塞的发生率.
- 这些发现可以为程序调整提供信息,以尽量减少MT的栓塞并发症.
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