动脉多普勒扫描对疑似眼性缺血综合征患者的管理有用吗?
Anastasia Gkiala1, Naima Zaheer1, Saba Anwar1
1Birmingham & Midland Eye Centre, Sandwell & West Birmingham NHS Trust, City Hospital, Birmingham, B18 7QH, UK.
Clinical ophthalmology (Auckland, N.Z.)
|July 24, 2024
概括
动脉多普勒扫描显示,眼睛缺血综合征患者的内动脉狭窄. 建议使用阿司匹林和他类药物进行保守治疗,对于眼部缺血综合征的罕见手术干预.
科学领域:
- 眼科医生 眼科 眼科
- 血管外科 血管外科
- 神经学 神经学
背景情况:
- 眼性缺血综合征 (OIS) 是一种罕见的疾病,通常与动脉疾病有关.
- 有效的OIS管理策略对于预防视力丧失和系统性并发症至关重要.
研究的目的:
- 评估怀疑患有眼性缺血综合征 (OIS) 的患者的动脉多普勒扫描 (CDS) 的诊断价值.
- 分析CDS报告的内动脉 (ICA) 狭窄和随后的临床管理决策之间的相关性.
- 评估OIS患者的血管专家转诊模式和外科手术干预率.
主要方法:
- 在四年 (2016-2019) 期间,对402个涉嫌OIS的CDS请求进行了回顾性审查.
- 分析了344名患有两种ICA报告的CDS患者的数据.
- 研究了其他专业的转介模式和管理决策.
主要成果:
- 大多数患者 (60.8%) 的CDS结果正常.
- 显著的内动脉狭窄 (ICA) 仅在12.1%的ICA中被发现.
- 只有17.4%的患者被转介到血管/中风小组,提供动脉内关节切除术的比例非常低 (3.3%).
结论:
- 冠状动脉多普勒扫描显示,在怀疑OIS的患者中,显著的ICA狭窄的发生率很低.
- 血管干预和动脉内关节切除术的转诊率特别低.
- 早期启动保守治疗,包括他类药物和阿司匹林,可能对OIS患者有益.
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