干预治疗内 Carotid 动脉近阻塞与不同的远距离血管直径
Bowen Zheng1, Shijun Zhang1, Guanhao Ke1
1Department of Neurology, The Fourth Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
World neurosurgery
|July 9, 2025
概括
内血管治疗是安全有效的内动脉近闭合,无论远方血管直径. 这种最少的侵入性方法在患有较小或较大的远端血管的患者中显示了可比的结果.
科学领域:
- 血管外科 血管外科
- 干预神经病学 干预神经病学
- 血管内治疗疗法 血管内疗法
背景情况:
- 内 carotid 动脉近闭塞的治疗提出了挑战.
- 远端血管直径是内血管手术规划的关键因素.
研究的目的:
- 评估内动脉近阻塞的内血管治疗的安全性和有效性.
- 为了比较远端血管直径≤2毫米和≥2毫米的患者的结果.
主要方法:
- 对66名接受内血管治疗的患者进行了回顾性研究,该患者因内动脉近闭塞而接受内血管治疗.
- 患者分为完全崩 (≤2毫米) 和非完全崩 (>2毫米) 的两组.
- 使用了双重抗血小板治疗和程序性保护 (雨或支架).
主要成果:
- 在两组中,内血管治疗的技术成功率为100%.
- 可比的外科手术期不良事件发生率 (21.43%对比21.05%).
- 在12个月后的ipsilateral中风发病率或复原症中没有显著差异.
结论:
- 血管内治疗是安全和有效的内动脉近闭在不同的远端血管直径.
- 该程序显示一致的成功和安全概况,无论远部血管大小.
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