在患有症状性动脉网络的患者中,内血管支架的安置被认为是预防中风复发的安全有效措施
Faraz Behzadi1, Neehar Gaddam2, Judy Dawod1
1Department of Neurology Banner University Medical Center, Phoenix, AZ.
Journal of vascular and interventional radiology : JVIR
|November 21, 2025
概括
在中风后,用动脉支架 (CAS) 治疗动脉网络是安全有效的,可以预防复发性中风. 在六个月内迅速治疗至关重要,以避免多次中风复发的高风险.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 干预性神经辐射学
背景情况:
- 动脉网 (CW) 是一种罕见的先天性异常,可能导致中风.
- 症状性CW需要有效的治疗来预防复发性缺血事件.
研究的目的:
- 评估动脉支架 (CAS) 的安全性和有效性,用于治疗症状性动脉网络 (CW).
- 评估CAS在预防CW患者中风复发中的作用.
主要方法:
- 从2020年1月到2025年3月,对被诊断患有CW和ipsilateral中风的成年患者进行了回顾性审查.
- 收集的数据包括人口统计,并发症,临床表现,解剖细节,治疗策略,医院疗程和6个月的结果 (中风复发,修改的兰金度表).
主要成果:
- 分析了12名患有CW和前部循环中风的患者,83%是女性,83%患有大血管封闭.
- 八名患者接受了CW治疗的CAS;没有人经历过即时并发症或6个月内中风复发 (mRS <2).
- 四名未经治疗的CW患者 (33%) 经历了复发性中风和不良结果 (mRS>2).
结论:
- 在中风后,用CAS治疗CW的同一住院治疗是一种安全有效的策略.
- 未经治疗的CW在中风后的前六个月内造成多次复发性中风的风险很大.
相关概念视频
01:26Aneurysm III: Interprofessional Care
247
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
247
01:23Atherosclerosis IV: Nursing Management
351
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
351