针对急性缺血性中风的基于输液成像的分组:使用趋势和对临床结果的影响
Jeong-Yoon Lee1,2, Do Yeon Kim3, Jun Yup Kim3
1Department of Neurology Soonchunhyang University Hospital Seoul Soonchunhyang University College of Medicine Seoul Republic of Korea.
Stroke (Hoboken, N.J.)
|January 26, 2026
概括
对急性缺血性中风的输液成像 (PI) 使用总体下降,但在后期治疗窗口增加. 虽然PI在晚期窗口改善了内血管治疗 (EVT) 的可能性,但它没有影响长期结果.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 脑卒中医学 脑卒中医学
背景情况:
- 输液成像 (PI) 对于选择急性缺血性中风患者进行内血管治疗 (EVT) 至关重要.
- 了解PI利用的趋势及其对不同时间窗口的EVT率和结果的影响是必不可少的.
研究的目的:
- 调查急性缺血性中风患者PI使用的时间趋势.
- 分析PI对EVT率和临床结果的影响,特别是在早期 (0-6小时) 与晚期 (6-24小时) 的时间窗口.
主要方法:
- 在韩国 (2011-2021) 全国急性中风注册的回顾性分析.
- PI定义为在EVT前或非EVT患者到达后3小时内进行治疗决策成像.
- 在前方大血管封闭患者中评估EVT率和结果,跨越三个时代和两个时间窗口.
主要成果:
- 整体PI使用率从36.9%下降到30.1%,早期窗口下降 (48.4%至32.4%),晚期窗口增加 (23.5%至27.8%).
- 使用PI与晚期窗口中增加EVT的可能性有关,并在早期窗口中减少前部大血管封闭的症状性内出血.
- 尽管PI使用发生了变化,但3个月后的功能结果和死亡率仍然没有受到影响.
结论:
- 在急性缺血性中风的早期和晚期时间窗口之间存在PI利用的明显趋势.
- 在指导EVT决策时,PI的确切作用和必要性需要进一步调查.
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