跨动脉动脉再血管化用于症状性动脉网
Cameron Ayala1, Patrick Barhouse1, Radmehr Torabi2
1Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
概括
穿动脉复血管化 (TCAR) 为症状性动脉网络提供安全有效的治疗方法,这是缺血性中风的原因. 这种程序成功地治疗了患者,在最近的一项研究中预防了复发性脑缺血.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 干预性神经放射学 干预性神经放射学
背景情况:
- 症状性动脉网是急性缺血性中风的已知原因之一.
- 冠状动脉网带有高风险的复发性缺血事件,即使有医疗管理.
- 存在手术选择,如输血关节动脉支架和关节内关节切除术,但没有评估过关节动脉再血管化 (TCAR).
研究的目的:
- 评估TCAR在治疗脑缺血症患者的安全性和有效性.
- 评估在接受TCAR治疗的患者的周围手术并发症和临床结果.
主要方法:
- 一系列患有脑性缺血症的患者由于心动脉网络进行了使用逆流逆流的TCAR.
- 患者在手术过程中被监控并发症.
- 进行了后续评估,以评估复发性缺血事件.
主要成果:
- 六名患者 (2名男性,4名女性,平均年龄59.5) 在21个月内接受治疗.
- 所有TCAR程序在技术上都是成功的.
- 在21个月的中位随访期间,没有观察到周围手术并发症或手术后脑缺血.
结论:
- TCAR是一种安全有效的治疗选择,用于导致大脑缺血的动脉网络.
- 这一小系列表明,TCAR可以在这个患者群体中预防复发性缺血事件.
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