延长的静脉过渡与前部循环不良结果有关 远端中等血管中风
Hamza Adel Salim1,2, Dhairya A Lakhani1,3, Aneri Balar1,3
1Division of Neuroradiology, Department of Radiology, Johns Hopkins Medical Center, Baltimore, Maryland, USA.
概括
延长的静脉通道 (PVT) 与远端中血管封闭 (DMVO) 卒中的更糟糕结果有关. 这一发现表明PVT可以帮助预测中风恢复,并指导DMVO患者的治疗.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 脑卒中医学 脑卒中医学
背景情况:
- 远端中血管阻塞 (DMVO) 卒中很常见,但最佳的治疗策略尚未确定.
- 延长的静脉过渡 (PVT),表明静脉流出不良,与大血管闭塞中风的不良结果有关.
- 在DMVO中风中PVT的预后意义仍然未被探索.
研究的目的:
- 调查延长静脉通行 (PVT) 与前部循环DMVO患者的功能性结局之间的关联.
- 确定PVT是否作为DMVO中风结果的独立预测因素.
主要方法:
- 连续患者前部循环DMVO (M2-M4MCA或ACA闭塞) 的回顾性分析.
- 使用预治疗时间至最大 perfusion 图评估 PVT 状态,识别静脉鼻延迟.
- 主要结局:90天修改的兰金尺度 (mRS) 得分为0-2. 记录了基线特征和干预措施.
主要成果:
- 在77名患者中,18名 (23%) 呈现PVT.
- 患有PVT的患者在90天内获得有利结果的几率明显降低 (mRS 0-2) (aOR 0.14;P=0.046).
- 在PVT+和PVT-组之间的出血转化率或死亡率中没有发现显著差异.
结论:
- 延长的静脉通道 (PVT) 独立地与前循环DMVO中不利的功能结果有关.
- 在DMVO中风中,PVT可以作为一个有价值的预后生物标志物.
- 这些发现可能会影响管理DMVO中风患者的临床决策.
相关概念视频
Venous Thrombosis I: Introduction
375
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
375
Venous Thrombosis III: Interprofessional Care
280
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
280
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
294
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
294
Venous Thrombosis IV: Nursing Management
202
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
202
Venous Return
11.7K
The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
11.7K
Peripheral Artery Disease V: Postoperative Nursing Management
378
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
378


