脑中风的特征 随着高尔胸部分支内移植需要2区着陆
Grace J Wang1, Nimesh D Desai1, Joseph E Bavaria1
1Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.
Annals of vascular surgery
|October 18, 2024
概括
GORE® TAG®胸部支部内置假体显示,在12个月内整体中风率为5.9%,动脉瘤患者的最高率. 手术前的中风是出血和缺血的,而后来的中风主要是缺血的.
科学领域:
- 血管外科 血管外科
- 神经学 神经学
- 医疗器械 医疗器械
背景情况:
- GORE® TAG®胸腔分支内置假体是美国FDA批准的唯一用于美国2区胸腔大动脉病理的分支器件.
- 以前的报道集中在动脉瘤队列的致残性中风率上;这项研究提供了一个全面的神经系统后果描述,长达12个月.
研究的目的:
- 在一个关键试验群体中详细介绍与GORE® TAG®胸部支部内置假体相关的神经系统后果,特别是中风.
- 分析各种胸前大动脉病理治疗的患者中风率,类型和分布.
主要方法:
- 修改的兰金尺度评估在多次间隔进行 (查,出院,1,6,12个月).
- 致残性中风被定义为发生在30天内,从基线上增加≥2的修改后兰金级得分.
- 描述性统计分析了与大动脉病理,着陆区和手术内气球的关联.
主要成果:
- 这项关键试验包括238名患有多种主动脉病理 (动脉瘤,解剖,截切等) 的患者.
- 在12个月内,整体中风率为5.9%,在动脉瘤队列 (8.3%) 中最高. 致残性中风的发病率为动脉瘤的4.3%,剖析的2.3%.
- 术后中风 (30天内) 包括出血和缺血事件;后来的中风主要是缺血,表明栓塞病因.
结论:
- 胸部支部内置假体显示的中风率与区域2着陆的脱枝程序相当.
- 动脉瘤病理与最高的中风风险有关;创伤切割显示没有中风.
- 整个地区的中风分布表明了栓塞源,强调了需要了解这种分支技术的神经风险.
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