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在急性中风的基底动脉血栓切除术失败后支架的结果:一项基于全国注册的队列研究
Shuai Yu1,2, Xiao-Feng Dong1,2, Zhi-Liang Guo1
1Department of Neurology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
概括
在急性基底动脉封闭 (BAO) 的机械血栓切除术失败后,救援内支架 (RIS) 是可行的. 这项研究没有发现任何显著的长期结果改善,但强调了在困难情况下的可行性.
科学领域:
- 神经学 神经学
- 干预神经病学 干预神经病学
- 血管神经学 血管神经学
背景情况:
- 机械血栓切除术是大血管封闭急性缺血性中风的主要治疗方法.
- 在失败的血栓切除术中,急性基底动脉封闭 (BAO) 的最佳策略尚不清楚.
研究的目的:
- 评估救援内支架 (RIS) 在机械血栓切除术失败后急性BAO患者的临床疗效和安全性.
主要方法:
- 一项前性多中心研究招募了来自ATTENTION注册表的477名急性BAO患者.
- 单变量和多变量回归分析评估了RIS的疗效和安全性.
主要成果:
- 346名患者接受了RIS,其中35.0%的人取得了良好的结果.
- 症状性内出血 (sICH) 发生在5.0%的患者中;36.1%的人死亡.
- 与没有RIS相比,RIS是可行的,但并没有显著改善长期结果 (mRS 0-2,死亡),尽管在RIS组中SICH更高 (p=0.031).
结论:
- 救援内支架是急性BAO患者的可行选择,第一线血栓切除术失败.
- 这项研究没有证明RIS.的长期结果有显著的改善.
- 需要进一步的研究来澄清RIS在复杂的BAO案件中的作用.
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