[1]高 军,孙 军,张东焕,等.血管内开通治疗急性串联病变型椎基底动脉闭塞临床效果分析[J].介入放射学杂志,2021,30(01):57-61.
 GAO Jun,SUN Jun,ZHANG Donghuan,et al.Endovascular recanalization for the treatment of acute tandem vertebrobasilar occlusions: analysis of clinical efficacy[J].journal interventional radiology,2021,30(01):57-61.
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血管内开通治疗急性串联病变型椎基底动脉闭塞临床效果分析()

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

卷:
30
期数:
2021年01
页码:
57-61
栏目:
临床研究
出版日期:
2021-01-25

文章信息/Info

Title:
Endovascular recanalization for the treatment of acute tandem vertebrobasilar occlusions: analysis of clinical efficacy
作者:
高 军 孙 军 张东焕 陈 笛 刘义锋 汪 宁 张丽阳 张京铮温昌明
Author(s):
GAO Jun SUN Jun ZHANG Donghuan CHEN Di LIU Yifeng WANG Ning ZHANG Liyang ZHANG Jingzheng WEN Changming.
Intervention Section of Cerebrovascular Diseases, Department of Neurology, Nanyang Municipal Central Hospital, Nanyang, Henan Province 473009, China
关键词:
【关键词】 急性脑梗死 椎基底动脉闭塞 后循环 串联病变 血管内再通 机械取栓
文献标志码:
A
摘要:
【摘要】 目的 评价急性串联病变型椎基底动脉闭塞(VBO)患者血管内开通治疗的临床效果。方法 回顾性分析150例连续入组的急性VBO患者临床、技术及功能结局资料。根据血管病变类型,将患者分为串联病变组(n=33,VBO伴有椎动脉颅外段病变)、单纯栓塞组(n=33, VBO因心源性或不明原因栓塞)、颅内狭窄组(n=84, VBO因椎基底动脉颅内段狭窄基础上急性闭塞)。对比分析3组患者临床结局、术中和术后并发症及血管开通情况等指标。靶血管成功再通定义为改良溶栓治疗脑梗死(mTICI)血流分级2b/3级。改良Rankin量表(mRS)评分评定术后3个月临床预后,0~2分为预后良好。结果 串联病变组、单纯栓塞组、颅内狭窄组靶血管再通率分别为100%(33/33)、97.0%(32/33)、98.8%(83/84),差异均无统计学意义(P>0.05);股动脉穿刺至血管再通中位时间分别为110(89.0~148.0) min、65(47.0~122.5) min、100(78.5~131.5) min,单纯栓塞组显著短于串联病变组、颅内狭窄组(P=0.004);术后90 d良好预后率分别为72.7%(24/33)、39.4%(13/33)、58.3%(49/84),串联病变组、颅内狭窄组高于单纯栓塞组(P=0.023)。3组术中术后并发症比较,差异均无统计学意义(P>0.05)。结论 血管内开通治疗急性串联病变型VBO安全有效,近期临床预后良好。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2020- 04- 06)
(本文编辑:边 佶)
更新日期/Last Update: 2021-01-25