血栓切除术医院间转移期间的出血转变:发生率,相关因素和与结果的关系
Pierre Seners1,2,3, Adrien Ter Schiphorst2,3,4, Anke Wouters3,5
1Neurology Department, Hôpital Fondation A. de Rothschild, Paris, France.
European stroke journal
|January 30, 2026
概括
在急性缺血性中风与大血管封闭 (AIS-LVO) 转移期间的出血转变 (HT) 是不常见的,但与糟糕的结果有关. 进一步研究降低HT风险是有必要的.
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:
- 患有大血管封闭性急性缺血性中风 (AIS-LVO) 的患者经常在初级和综合性中风中心之间进行内血管治疗 (EVT).
- 在这种医院间转移期间,出血转变 (HT) 是一个潜在的并发症.
- 了解HT的发病率,相关因素和结果对于患者管理至关重要.
研究的目的:
- 为了确定AIS-LVO的医院间转移期间HT的发生率.
- 确定与HT发展相关的因素.
- 评估HT和3个月功能结果之间的关系.
主要方法:
- 对从EVT初级中风中心转移到综合性中风中心的AIS-LVO患者的回顾性分析.
- 包括标准:前部循环AIS-LVO,转移前成像和CSC到达成像.
- 在CSC成像中,HT被定义为新出现的对瘤出血;扩张被定义为体积增加.
主要成果:
- 在566名患者中,5.5%的患者在转移期间经历了HT.
- 与动脉再通道化,较高的NIHSS和较长的症状发作到CSC到达时间相关的HT.
- 在24%的HT病例中出现HT扩张;医院间HT与3个月的不良结果 (mRS ≥3) 有关.
结论:
- 在用于EVT的医院间转移期间的HT是罕见的,但与显著的扩张和不良的功能结果有关.
- 诸如重新道化和传输时间等因素会影响HT风险.
- 建议考虑在转移期间减轻HT风险的治疗方法.
相关概念视频
00:59Hospitals-II
1.2K
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
1.2K
01:28Hospitals-I
1.6K
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
1.6K
02:12Relationship Formation
46.2K
What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
46.2K
01:08Prevalence and Incidence
1.8K
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
1.8K
01:28Ending Relationships
188
The dissolution of intimate relationships presents complex emotional and psychological challenges, particularly when emotional bonds are strong, the relationship is long-standing, and perceived alternatives are limited. This distress often intensifies in romantic breakups, where the initiator may experience greater turmoil than the rejected partner. Contributing factors include residual attachment, guilt over causing pain, and uncertainty about how to manage the situation. The stress is further...
188
01:33Bacterial Transformation
59.9K
In 1928, bacteriologist Frederick Griffith worked on a vaccine for pneumonia, which is caused by Streptococcus pneumoniae bacteria. Griffith studied two pneumonia strains in mice: one pathogenic and one non-pathogenic. Only the pathogenic strain killed host mice.
Griffith made an unexpected discovery when he killed the pathogenic strain and mixed its remains with the live, non-pathogenic strain. Not only did the mixture kill host mice, but it also contained living pathogenic bacteria that...
Griffith made an unexpected discovery when he killed the pathogenic strain and mixed its remains with the live, non-pathogenic strain. Not only did the mixture kill host mice, but it also contained living pathogenic bacteria that...
59.9K