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在急性缺血性中风中进行内血管治疗:对利用和结果进行六年全国评估:急性中风内血管治疗的结果
Abdul Rasheed Bahar1, Yasemin Bahar1, Syed Murtaza Ishaq2
1Department of Internal Medicine, Detroit Medical Center/Wayne State University, Detroit, MI, USA.
The American journal of the medical sciences
|June 5, 2025
概括
大血管封闭性中风的内血管治疗 (EVT) 正在增加,但与更高的住院死亡率和并发症有关. 仔细的患者选择对于优化急性缺血性中风干预的结果至关重要.
科学领域:
- 神经学 神经学
- 心血管医学 心血管医学
- 关键护理医学 关键护理医学
背景情况:
- 缺血性中风是全球死亡和残疾的主要原因.
- 内血管治疗 (EVT) 是有效的急性缺血性中风与大血管封闭 (LVO).
- 在美国,EVT的采用正在增加,但结果数据有限.
研究的目的:
- 评估EVT用于LVO中风的使用趋势.
- 为了评估接受EVT的中风患者的住院结果.
主要方法:
- 使用全国住院患者样本 (NIS) 数据库 (2016-2021) 的回顾性队列研究.
- 已确定的成人患者患有LVO中风 (内动脉或中脑动脉).
- 使用多变量逻辑回归和倾向得分匹配进行结果分析.
主要成果:
- 在840,335名LVO中风住院患者中,有13.3%接受了EVT.
- 在倾向分数匹配分析中 (n=18,460),EVT与更高的住院死亡率 (10.4%与5.6%) 以及脑内出血,心脏骤停,主要心脏不良事件和心律不整的增加率有关.
- EVT与较低的发病率 (1.87%与2.58%相比) 有关.
结论:
- 观察到LVO中风的EVT使用增加.
- EVT与更高的住院死亡率和并发症率有关.
- 强调需要仔细选择患者,并进一步实践研究以优化EVT结果.
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