动脉网诊断的延迟仍然很常见,并且与中风复发风险增加有关
Pauline Poirette1, Nicolas Chausson, Jean Papaxanthos1
1Neuroradiology, Bordeaux University Hospital, France. (P.P., J.P., G.M.).
Stroke
|May 12, 2025
概括
晚期诊断动脉网,是缺血性中风的原因,是常见的,特别是在轻微的中风. 这种延迟显著增加了中风复发风险,强调了早期血管成像的必要性.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 动脉网是缺血性中风的一个未被认可的原因,特别是在年轻人中.
- 动脉网的诊断延迟可能会导致严重的后果,因为复发风险很高.
研究的目的:
- 评估第一个缺血事件后延迟动脉网诊断的发生率.
- 评估延迟诊断对中风复发的影响.
主要方法:
- 对CAROWEB注册表的回顾性分析 (2013年9月 - 2023年4月).
- 包括第一次因心血管网造成的缺血性中风/TIA的患者.
- 分类为早期 (≤30天) 和延迟 (>30天) 诊断组.
- 通过生存分析,分析与延迟和中风复发相关的因素.
主要成果:
- 延迟诊断发生在25.3%的患者中.
- 延迟的预测因素包括NIH中风尺度得分较低,2019年之前的中风,以及没有CT血管造影.
- 推迟诊断组中,中风复发率显著高于推迟诊断组 (3.6vs0.38每100个患者年).
- 延迟诊断与复发风险增加5倍有关 (aHR,5.02).
结论:
- 晚期动脉网诊断很普遍,特别是在轻微的中风和没有早期CT血管造影的情况下.
- 这种延迟显著增加了复发性缺血性中风的风险.
- 早期血管成像对于快速的动脉网诊断和中风预防至关重要.
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