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动脉支架用于症状性动脉近闭塞:可行性,安全性和结果分析

Emre Can Çelebioğlu¹, Guilherme Dabus², Sena Bozer Uludağ³

¹Department of Radiology/Vascular Interventional, Ankara Universitesi Tip Fakultesi, Ankara, Turkey.

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

|October 21, 2024

概括

冠状动脉支架 (CAS) 是对症状性冠状动脉近闭合 (CNO) 的可行的治疗方法,这是中风的罕见原因. 这项研究发现,在复杂的患者群体中,CAS在可接受的永久神经学缺陷下是可行的.

科学领域:

血管外科血管外科
神经学神经学
干预心脏病学干预心脏病学

背景情况:

额外内管狭窄 (EICS) 是已知的中风原因.
动脉近闭合 (CNO) 是一种罕见的EICS亚型,有争议的治疗必要性.
这项研究评估了患有症状的CNO的动脉支架 (CAS).

研究的目的:

评估CAS在有症状的CNO患者中的可行性和结果.
分析CNOs的CAS后的并发症率和神经缺陷.
提供关于CAS在这种特定患者群体中的安全性和有效性的数据.

主要方法:

对65名患者进行了66次CAS手术以治疗有症状的CNO的回顾性研究 (2019年1月至2023年1月).
通过数字减去血管学 (DSA) 证实了诊断.
收集了关于患者人口统计,临床表现,并发症和修改的兰金度量 (mRS) 评分的数据.

主要成果:

患者平均年龄为71.5岁;22名女性,43名男性.
八个早期并发症 (30天后的CAS):7.7%的大脑高 perfusion 综合征,4.5%缺血性并发症.
永久的神经缺陷率为6%;94%的mRS在平均22.9个月的随访期间没有变化.

结论:

对于有症状的CNO,CAS是一种可行的治疗选择.
该程序表明永久的神经学缺陷的可接受率.
需要进一步的研究来确定长期的安全性和有效性.

关键词:

冠状动脉近闭塞的近闭塞頸動脈動脈的縮小頸動脈的縮小冠状动脉支架冠状动脉支架大脑高 perfusion 综合征是什么一次性中风中风中风中风中风

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