额外内 Carotid 阻塞的自发性重新道化:一个系统的范围审查审查
Sarah Y Zhang1, Hee Sahng Chung1, Brian Dewar1
1Department of Medicine (Neurology), University of Ottawa and Ottawa Hospital Research Institute, Ottawa, ON, Canada.
PloS one
|July 11, 2025
概括
堵塞的动脉的自发再通道可以发生,通常在封闭后的六个月内. 对于这种中风病因的标准化成像和治疗方法,需要进一步的研究.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 脑卒中研究 脑卒中研究
背景情况:
- 外内动脉 (ICA) 堵塞的自发性再通道是缺血性中风的不常见原因.
- 越来越多的报道强调了这种现象的重要性.
研究的目的:
- 进行范围审查,以确定自发ICA再通道化的流行率.
- 分析与闭塞相对的再通道化时间.
- 识别成像和治疗策略中的模式.
主要方法:
- 在MEDLINE,Embase,Cochrane和Web of Science数据库中搜索到2024年3月.
- 包括自发再通道化或额外头骨ICA暂时封闭的成人研究.
- 提取了关于再通道比例,时间,成像和治疗的数据;使用了定性描述和描述性统计数据.
主要成果:
- 53项研究 (818名患者) 符合纳入标准,17项是队列研究,36项是病例研究.
- 在队列研究中,重新道化比例的中位数为21.2%.
- 在6个月内,46.7% (队列) 和66.7% (病例) 的研究中发生了重新道化. 抗血小板治疗是常见的. 多普勒和血管造影是主要的成像方法. 21项研究报告了复血管化程序.
结论:
- 堵塞的额外冠状动脉的自发再通道是可能的,通常在堵塞后的六个月内.
- 目前的数据缺乏用于成像和治疗方案的标准化,用于患有阴道动脉堵塞的患者.
相关概念视频
The Arch of Aorta
2.2K
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
2.2K
Arteries of the Head and Neck
4.3K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
4.3K
Aneurysm III: Interprofessional Care
478
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
478


