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研究领域化学科学物理化学体和表面化学
评估术前宫内动脉直径作为重血管化手术后大脑溢血综合征的预测指标

评估术前宫内动脉直径作为重血管化手术后大脑溢血综合征的预测指标

Mitsuhiro Anan ¹, Kohei Onishi ¹, Masaki Morishige ¹, Kunpei Takao ¹, Wataru Matsushita ¹, Kaito Arimatsu ¹, So Okuma ¹, Yukari Kawasaki ¹, Yasuyuki Nagai ², Yu Takeda ³, Nobuhiro Hata ¹, Minoru Fujiki ¹

Mitsuhiro Anan ¹, Kohei Onishi ¹, Masaki Morishige ¹

¹Department of Neurosurgery, Oita University Faculty of Medicine, 1-1 Idaigaoka Hasama-machi Yufu, Oita, Japan.
²Department of Neurosurgery, Oita Prefectural Hospital, 2-8-1 Bunyo Oita, Oita, Japan.
³Department of Neurosurgery, National Hospital Organization Beppu Medical Center, 1473 Uchikamado Beppu, Oita , Japan.

⁰Department of Neurosurgery, Oita University Faculty of Medicine, 1-1 Idaigaoka Hasama-machi Yufu, Oita, Japan.

Clinical Neurology and Neurosurgery +

|

2025年八月30日

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在PubMed上查看摘要

概括

此摘要是机器生成的。

在手术前内动脉 (ICA) 直径可以预测大脑高 perfusion 综合征 (CHS) 后的内动脉再血管. 较小的治疗侧ICA直径和较高的狭窄比率表明CHS风险增加.

科学领域

血管外科
神经学
放射学

背景情况

大脑溢血综合征 (CHS) 是一个严重的风险后,动脉再血管.
预测CHS对于患者安全和程序规划至关重要.

研究的目的

确定手术前内动脉直径是否预测了 carotid endarterectomy (CEA) 或 carotid动脉支架 (CAS) 后的 CHS.

主要方法

78名接受CEA或CAS的患者的回顾性分析.
在手术前通过CT血管图或DSA测量三个宫段的ICA直径.
对ICA直径和术后CHS之间的关联进行统计评估.

主要成果

CHS发生在5. 1%的患者中.
CHS组的治疗侧ICA直径显著较小 (2.73毫米对比3.89毫米),对侧ICA直径较大 (4.89毫米对比4.33毫米).
狭窄率为0. 677是CHS的一个显著预测指标 (AUC=0. 97,敏感度=100%,特异性=92%).

结论

在手术前进行ICA直径测量可以帮助预测CHS风险.
将ICA直径等解剖学指标与血液动力学评估相结合,可以改善术后风险分层.

关键词:

大脑溢血综合征宫内动脉内动脉的直径

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The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...

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