在机械血栓切除术后的凸度下结膜下出血
概括
由于内动脉缩狭窄症 (ICAS),急性凸性下关节出血 (cSAH) 很少使急性缺血性中风 (AIS) 的机械血栓切除术 (MT) 复杂化. 这种罕见的并发症没有对患者的预后或抗血小板治疗选择产生负面影响.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 血管神经学 血管神经学
背景情况:
- 急性凸性脑下关节出血 (cSAH) 是一种罕见的并发症,发生在接受机械血栓切除术 (MT) 治疗急性缺血性中风 (AIS) 的患者身上.
- 与内动脉样狭窄症 (ICAS) 相关的大血管封闭 (LVO) 是一种特定的病因,在MT后cSAH的发生和影响仍然未得到报告.
研究的目的:
- 为了调查急性cSAH的发病率和临床影响后MT在AIS患者与ICAS相关的LVO.
- 评估cSAH对术后管理和患者预后的影响.
主要方法:
- 对接受了MT的ICAS相关的LVO的AIS患者的回顾性审查.
- 收集的数据包括人口统计,临床细节,成像,治疗和90天修改的兰金级别 (mRS) 评分.
- 预后被定义为一个mRS分数0-2.
主要成果:
- 979名患者中有9名 (0.92%) 在MT后出现cSAH.
- 所有患者在90天后都获得了良好的预后 (mRS 0-2).
- 术后管理包括单一或双重抗血小板治疗,没有发生脑内出血转变的病例.
结论:
- 在AIS患者中,cSAH是MT后的罕见并发症,与ICAS相关的LVO.
- 发生cSAH并没有对患者的预后产生不利影响,也没有影响抗血小板治疗决策.
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