在急性缺血性中风患者的内血管血栓切除术中,同时出现多血管闭塞
Chi-Ting Chung1, Chih-Hao Chen1, Hai-Jui Chu2
1Department of Neurology National Taiwan University Hospital Taipei Taiwan.
Stroke (Hoboken, N.J.)
|January 26, 2026
概括
在急性缺血性中风的内血管血栓切除术 (EVT) 中,同时发生的多血管封闭 (MVOs) 是罕见的,但与明显更高的死亡率和不良结果有关. 在这些复杂的案件中实现反仍然具有挑战性.
科学领域:
- 神经学 神经学
- 干预神经病学 干预神经病学
- 血管神经学 血管神经学
背景情况:
- 同时的多血管封闭 (MVOs) 在急性缺血性中风干预期间不常见.
- 内血管血栓切除术 (EVT) 是急性缺血性中风的主要治疗方法.
研究的目的:
- 为了确定急性缺血性中风接受EVT的患者中MVO的患病率.
- 确定与MVO相关的因素.
- 分析使用EVT治疗的MVO患者的结局.
主要方法:
- 连续接受EVT治疗急性缺血性中风的患者的回顾性分析.
- 对MVO的定义是两个或两个以上主要的内或外血管的同时封闭.
- 基线特征,MVO原因,EVT程序和90天结果的分析.
主要成果:
- 在602名EVT患者中,有1.8%患有MVO.
- 患有MVO的患者显示出更高的入院前依赖性,中风严重程度和后脑动脉封闭.
- 原因包括动脉样硬化,心血管栓塞,高凝血和产后.
- 与非MVO患者相比,MVO患者的90天死亡率和功能表现不佳显著增加.
结论:
- 急性同时MVO很少见,但与接受EVT的急性缺血性中风患者的预后不佳有关.
- 对于MVO而言,多目标EVT在技术上具有挑战性,但可行,尽管很难实现最佳的反.
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