在急性缺血性中风患者内血管血栓切除术后死亡率的特征
Jian Wang1, Qian Liu1, Fayun Hu1
1Department of Neurology, West China Hospital of Sichuan University, Chengdu, Sichuan, People's Republic of China.
Clinical interventions in aging
|December 23, 2024
概括
对于急性缺血性中风 (AIS) 的内血管血栓切除术 (EVT) 后的死亡率通常是由于恶性脑 (MCE),肺炎或症状性内出血 (sICH). 了解这些原因有助于改善患者的治疗结果和EVT后护理.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 干预心脏病学 干预心脏病学
背景情况:
- 血管内血栓切除术 (EVT) 已经推进了急性缺血性中风 (AIS) 治疗.
- 然而,EVT后的死亡率仍然令人担忧,最近的现实数据有限.
- 了解最近的死亡率模式对于优化EVT协议至关重要.
研究的目的:
- 调查AIS患者在EVT后30天内死亡的主要原因.
- 确定与不同死亡原因相关的临床特征.
- 提供有关EVT相关死亡的最新流行病学数据.
主要方法:
- 这是一项多中心的回顾性研究,对721名AIS患者进行了研究,这些患者在EVT后死亡.
- 数据来自中国四川省33家医院 (2019年1月 - 2022年9月).
- 分析的重点是死亡原因和相关的临床因素.
主要成果:
- 主要死亡原因:恶性脑 (MCE) (50.6%),肺炎 (25%) 和症状性内出血 (sICH) (13%).
- 在前部循环中风和EVT后早期死亡中,MCE占主导地位;肺炎随着时间的推移和后部循环中风增加.
- 与MCE相关的因素包括大血管封闭和低再输血率;与肺炎相关的晚年;与手术并发症相关的sICH.
结论:
- 恶性脑,肺炎和症状性脑内出血是EVT后死亡的主要原因.
- 不成功的再输血与MCE有关;程序并发症和操作员经验与SICH有关.
- 肺炎是晚期死亡的一个重要原因,受到EVT后管理的影响.
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