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在有症状的八旬期患者中, carotid endarterectomy 的结果

Marcello Lodato¹, Rodolfo Pini², Gianluca Faggioli³

¹Vascular Surgery Unit, IRCCS University Hospital Policlinico S. Orsola, Bologna, Italy.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

|June 12, 2025

概括

在八十岁的患者中, Carotid Endarterectomy (CEA) 显示了低的外科手术和随访事件率,与年轻患者相似. 然而,老年患者的术后中风往往更严重.

科学领域:

血管外科血管外科
老年医学老年医学
神经学神经学

背景情况:

冠状动脉内关节切除术 (CEA) 是症状性冠状动脉狭窄症 (SCS) 的标准.
越来越多的八十多岁的人接受CEA,但对外科手术期间中风严重程度的数据有限.
这项研究涉及八十岁的CEA患者的结果和中风特征.

研究的目的:

报告CEA结果的症状性动脉狭窄症 (SCS) 在八十岁.
为了比较八十岁和非八十岁患者之间的外科手术前中风和死亡率.
评估八十岁人与非八十岁人中术后中风的严重程度.

主要方法:

对664名接受SCSCEA的患者 (2012-2023) 的回顾性分析.
患者分为八十岁 (≥80岁) 和非八十岁 (<80岁) 两组.
术前症状,干预时间,术后中风/死亡率 (NIHSS) 和5年生存率的比较.

主要成果:

整体中风/死亡率为3.1%,在各组之间相似 (3.7%的八十岁生与3.1%的非八十岁生).
中度/重度的术后中风 (NIHSS ≥5) 在八岁以上的人群中更频繁 (2%对比0.4%).
五年两侧无中风生存率高且相似:95.2% (八分生) 与98.1% (非八分生).

结论:

由于SCS而接受CEA的八代人患者的术后和随访事件率较低,与年轻患者相比较低.
手术前症状的时间和类型并没有显著影响CEA的结果.
虽然整体中风率相似,但80岁以上人群的术后中风更可能是严重的.

关键词:

冠状动脉末端切除术 (carotid endarterectomy) 是一个切除术.八分之一生的人.有症状的动脉狭窄.

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