长期用于中风后无效内血管再输血的患者
Mengke Zhang1, Ruiwen Che2, Jiali Xu3
1Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
CNS neuroscience & therapeutics
|March 13, 2024
概括
脑中风血栓切除术后的虚假再通道影响长期生存. 诸如年龄和中风严重程度之类的因素预测了不良结果和死亡率,为未来的治疗策略提供了信息.
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
- 脑卒中医学 脑卒中医学
背景情况:
- 血栓切除技术改善了中风再通道化率.
- 虚空再通道 (FR) 仍然是中风治疗中的一个重要问题.
- 对于FR患者的长期结果和预后因素尚未确定.
研究的目的:
- 评估缺血性中风内血管治疗 (EVT) 后无效再通道治疗的患者的长期预后和存活率.
- 确定影响该患者队列长期结果和死亡率的因素.
主要方法:
- 一个单一中心的前性注册表研究包括连续接受因缺血性中风 (2013-2021) 进行EVT的患者.
- 卡普兰-梅尔生存分析评估了长期结果.
- 多变量逻辑回归确定了影响因素.
主要成果:
- 在458名FR患者中,1年和2年生存率分别为56.4%和50.4%.
- 不利的长期结局与年龄,先发性mRS,NIHSS,后部循环心脏病发作,全身麻醉,SICH和解压式切除术有关.
- 长期死亡率的预测因素包括年龄,患病前的mRS,NIHSS,全身麻醉和SICH.
结论:
- 虚无的再通道化在中风患者中常见,这些患者经过血栓切除术后.
- 了解FR的长期预后对于治疗规划和预测治疗疗效至关重要.
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