在接受血栓切除术的ipsilateral carotid web患者的住院复发性中风
Farhan Khan1, Narendra Kala1, Kelvin Chang1
1Department of Neurology, Brown University, Providence, Rhode Island, USA.
Annals of clinical and translational neurology
|August 31, 2024
概括
动脉网络虽然很少见,但在患有大血管封闭症的患者中显著增加了早期中风复发的风险. 这些发现凸显了网络作为未被认可的中风原因,特别是在年轻人中.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 脑卒中研究 脑卒中研究
背景情况:
- 动脉网络是缺血性中风的潜在原因,特别是在没有传统风险因素的年轻患者中.
- 与动脉网相关的直接和长期结果没有得到充分的记录.
研究的目的:
- 为了研究阴道动脉网络与医院内中风复发之间的关联.
- 为了确定患有冠状动脉网的患者中复发性大血管封闭 (LVO) 的风险.
主要方法:
- 在综合性中风中心接受急性前部循环大血管封闭 (LVO) 的成年患者的分析.
- 主要结局:住院中风复发. 二次结局:在医院内复发的LVO.
- 多变量逻辑回归用于评估ipsilateral carotid web与中风/LVO复发之间的关联.
主要成果:
- 1.8% (27/1463) 的前部循环LVO患者有一个ipsilateral carotid网络.
- 患有动脉网的患者更年轻,更不太可能是白人.
- 冠状动脉网与复发性缺血性中风 (aRR:4.38) 和复发性ipsilateral LVO (aRR:4.49) 的风险明显更高.
结论:
- 冠状动脉网是急性LVO的未被认可的原因,并且与早期复发的风险增加有关.
- 需要进一步的研究来证实这些发现,并探索症状性动脉网络的早期再血管化策略.
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