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在有症状的MCA-M2与MCA-M1片段狭窄症中进行自我扩张支架的比较结果

Yazhou Jin¹, Yueqi Zhu², Xinbin Guo¹

¹Department of Neurointerventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.

Journal of neurointerventional surgery

|September 10, 2025

概括

对于中脑动脉 (MCA) M2狭窄的自我扩张支架是安全有效的,与M1支架相比. 这项研究发现M1和M2支架程序的并发症率和结果相似.

科学领域:

神经学神经学
干预性神经放射学干预性神经放射学
血管外科血管外科

背景情况:

自扩张型支架用于症状性中脑动脉 (MCA) M2段狭窄的结果尚未确立.
需要对MCA的M1和M2段进行比较,以澄清安全性和有效性.

研究的目的:

分析自我扩展型支架在有症状的MCA M2段狭窄症的安全性和有效性.
为了比较M2段支架与M1段支架的结果.

主要方法:

318名患者的多中心回顾性队列研究,为症状M1或M2狭窄而进行自我扩张支架安置 (2017年1月至2024年8月).
患者分层分为M1支架 (M1S) 和M2支架 (M2S) 组.
倾向性得分匹配 (PSM) 用于比较30天的周围手术并发症,半侧脑卒中 (30天至6个月) 和在6个月内静止静止症 (ISR).

主要成果:

在M1S和M2S组之间30天周围手术并发症没有显著差异 (5.0%对5.4%).
在手术后30天至6个月的时间内,两侧脑中风的发病率相似 (3.1%对3.9%).
在6个月内,可比率的静脉静脉缩 (ISR) (25.0%对15.8%).

结论:

对症状M2狭窄的自扩张支架在技术上是可行的.
M2支架的安全性和有效性概况与M1支架相似.
随机试验的进一步验证是有必要的.

关键词:

干预干预干预狭窄症 (英语:Stenosis) 是一种缩小症.支架是一种支架.

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