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能够进行血栓切除术的综合性中风中心与综合性中风中心:对急性大血管封闭症的内血管治疗结果的影响

Shujuan Gan^1,2, Tingyu Yi^3,4, Jintao Chen¹

¹Department of Cerebrovascular Disease, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

|October 6, 2025

概括

综合性中风中心 (CSCs) 在接受内血管治疗 (EVT) 的急性缺血性中风患者中表现出相似的功能独立性,与能够进行血栓切除的中风中心 (TSCs) 相比. 此外,CSC的死亡率较低,再输血率更高.

科学领域:

神经学神经学
干预心脏病学干预心脏病学
公共卫生公共卫生

背景情况:

关于不同类型的中风中心内血管治疗 (EVT) 结果的数据有限.
急性缺血性中风治疗质量在各专业中心之间有所不同.

研究的目的:

在综合性中风中心 (CSCs) 和具有血栓切除能力的中风中心 (TSCs) 之间比较EVT质量和患者结果.
根据中风中心的指定,评估EVT对急性缺血性中风患者的大血管封闭的有效性.

主要方法:

一项回顾性研究包括947名在24小时内出现症状的前部循环大血管封闭的患者.
从37个中风中心 (11个中风中心,26个中风中心) 收集数据.
对基线特征和时间指标进行控制的回归模型,以根据中心类型评估结果.

主要成果:

功能独立性 (90天后修改的兰金评分0-2) 在CSC (49%) 和TSC (43.5%) 之间是相似的.
与TSC相比,CSC的死亡率显著降低 (aOR,0.466) 和成功再输血率更高 (aOR,3.29) .
在症状性内出血或手术并发症方面没有发现显著差异.

结论:

在急性缺血性中风中,CSCs为EVT提供了与TSCs相似的功能独立性.
脑脊髓癌与降低死亡率和改善再输血结果有关,而不会增加出血风险.
脑中风中心类型是对大血管封闭性脑中风的EVT结果的一个重要因素.

关键词:

急性缺血性中风是一次急性缺血性中风.血管内治疗治疗血管内治疗大型船只的堵塞.脑卒中中心认证认证中心

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