[1]李 威,冯晓丽,王康萌,等.急性前循环动脉粥样硬化性串联闭塞患者球囊扩张与支架置入的效果[J].介入放射学杂志,2024,33(06):593-598.
 LI Wei,FENG Xiaoli,WANG Kangmeng,et al.The efficacy of balloon dilation angioplasty and stent implantation in treating patients with acute anterior tandem occlusion caused by internal carotid artery atherosclerosis[J].journal interventional radiology,2024,33(06):593-598.
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急性前循环动脉粥样硬化性串联闭塞患者球囊扩张与支架置入的效果()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年06
页码:
593-598
栏目:
神经介入
出版日期:
2024-06-20

文章信息/Info

Title:
The efficacy of balloon dilation angioplasty and stent implantation in treating patients with acute anterior tandem occlusion caused by internal carotid artery atherosclerosis
作者:
李 威 冯晓丽 王康萌 黄开来 孙 刚 陈 蓉 赵振强 关海涛
Author(s):
LI Wei FENG Xiaoli WANG Kangmeng HUANG Kailai SUN Gang CHEN Rong ZHAO Zhenqiang GUAN Haitao.
Department of Neurology, First Affiliated Hospital, Hainan Medical College, Haikou, Hainan Province 570105, China
关键词:
【关键词】 急性前循环串联闭塞 动脉粥样硬化性病变 球囊扩张 支架置入 血管内治疗
文献标志码:
A
摘要:
【摘要】 目的 比较颈内动脉起始段粥样硬化性串联闭塞患者颈内动脉颅外段行球囊扩张或支架置入的安全性和有效性。方法 纳入2018年1月至2022年10月海南医学院第一附属医院和广州医科大学附属第三医院收治的发病24 h内行血管内治疗的急性前循环串联闭塞脑卒中患者91例,分为球囊扩张组51例,支架置入组40例,比较两组基线和临床资料。mTICI 2b~3定义为血管良好再通,术后90 d改良Rankin量表(mRS)评分0~2分定义为临床预后良好。结果 支架组患者术后血管良好再通率和90 d 良好临床预后率较球囊组高,分别为70% 比60.8%和60% 比52%,但差异无统计学意义(P=0.361、0.391)。两组症状性颅内出血发生率、无症状性颅内出血发生率和病死率分别为10%比11.8%、32.5%比41.2%、22.5%比17.7%,差异均无统计学意义(P=1.000、0.396、0.564)。结论 颈内动脉起始段动脉粥样硬化性病变所致的急性前循环串联闭塞患者,急性期颅外段行球囊扩张或支架置入可能均安全有效。

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备注/Memo

备注/Memo:
(收稿日期:2023- 08- 12)
(本文编辑:新 宇)
更新日期/Last Update: 2024-06-20