反侧面性疾病不是决定性因素的重血管化程序在动脉的疾病
Murat Ugur1, Muhammet Turhan1, Ege Dursun1
1Department of Cardiovascular Surgery, Sancaktepe Sehit Professor Doctor Ilhan Varank Education and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Vascular
|February 13, 2026
概括
逆侧动脉狭窄症并不决定动脉内关节切除术的重血管化方法. 标准的手术预防措施确保了与单边手术类似的结果,强调大脑监测和稳定的血压.
科学领域:
- 血管外科 血管外科
- 神经学 神经学
- 心脏病学 心脏病学
背景情况:
- 动脉疾病是中风的主要原因,外科内关节切除术是黄金标准的治疗方法.
- 对患有 contralateral carotid 狭窄症的患者的管理策略,包括重血管化方法和外科手术技术 (转移或不转移) 进行了讨论.
- 这项研究研究了在接受动脉内关节切除术的患者中,不同程度的 contralateral 动脉狭窄症的重血管化方法和结果.
研究的目的:
- 评价对侧向动脉狭窄对选择复血管化方法的影响.
- 为了比较手术后的神经事件和死亡率在不同程度的 contralateral carotid 狭窄症.
- 评估标准手术方案的安全性和有效性,在患有动脉狭窄和逆侧疾病的患者.
主要方法:
- 在2019年4月至2024年4月期间,对248名接受了动脉内关节切除术的患者进行了回顾性分析.
- 根据对侧动脉狭窄的程度 (<50%,50-69%,70-99%和完全封闭) 将患者分为四组.
- 在所有手术中都使用近红外光谱 (NIRS) 监测;比较侧重于术后神经事件和死亡率.
主要成果:
- 在所有组中,人口统计学,术前发现和交叉紧时间都相似.
- 两组之间没有观察到早期轻微或重大术后神经事件的统计学上显著差异.
- 由于出血和死亡率而导致的复手率与逆侧狭窄症的程度没有显著的相关性,总体而言,复手率很低.
结论:
- 逆侧动脉狭窄症的严重程度不是选择动脉内关节切除术中再血管化方法的决定因素.
- 标准的手术预防措施,包括大脑监测和维持血压,允许在这些患者中进行安全有效的手术干预.
- 在患有逆侧狭窄症的患者中, carotid endarterectomy 的结果与单侧疾病患者的结果相似,当遵循常规做法时.
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