急性缺血性中风的内血管治疗:沙特阿拉伯10年的经验
Ismail A Khatri1,2,3, Zaid AlSaaran1, Mohammed AlNafisah1
1Department of Neurology, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Saudi journal of medicine & medical sciences
|October 30, 2025
概括
大血管封闭性急性缺血性中风的内血管治疗 (EVT) 显示出良好的结果,但延迟超过六小时会增加中风严重程度和死亡风险.
科学领域:
- 神经学 神经学
- 干预性放射学 干预性放射学
- 脑卒中医学 脑卒中医学
背景情况:
- 自2015年以来,内血管治疗 (EVT) 是急性缺血性中风与大血管封闭 (LVO) 的标准护理.
- 这项研究评估了沙特阿拉伯一家三级护理中心的EVT结果.
研究的目的:
- 分析接受EVT的患者的临床和放射性特征.
- 评估在沙特阿拉伯的第三级护理环境中对EVT的结果.
主要方法:
- 在2012年1月至2022年12月期间接受EVT的159名患者的回顾性分析.
- 收集的数据包括人口统计,临床表现,放射学发现,程序细节和结果.
主要成果:
- 在78%的患者中,成功实现了再通道化 (TICI 2b及以上).
- 13%的患者出现并发症,12%的患者经历了内出血.
- 死亡率为23%,28%的人获得了0-2.0的修改后排名得分.
- >6小时后启动的EVT与更严重的中风和更高的死亡率有关.
结论:
- EVT为LVO中风提供了良好的程序结果,即使有轻微延迟的门到关节时间.
- 延迟EVT启动 (>6小时) 与中风严重程度和死亡率的增加显著相关.
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