[1]徐志嘉,曹月洲,赵林波,等.基于机械取栓术前CTA的侧支循环评分对动脉粥样硬化狭窄型急性大脑中动脉闭塞的预测价值[J].介入放射学杂志,2023,32(02):114-118.
　XU Zhijia,CAO Yuezhou,ZHAO Linbo,et al.Application of CT angiography collateral circulation score before mechanical thrombectomy in predicting acute middle cerebral artery occlusion due to atherosclerotic stenosis[J].journal interventional radiology,2023,32(02):114-118.
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基于机械取栓术前CTA的侧支循环评分对动脉粥样硬化狭窄型急性大脑中动脉闭塞的预测价值()

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

卷:
32
期数:
2023年02
页码:
114-118
栏目:
神经介入
出版日期:
2023-03-03

文章信息/Info

Title:
Application of CT angiography collateral circulation score before mechanical thrombectomy in predicting acute middle cerebral artery occlusion due to atherosclerotic stenosis
作者:
徐志嘉; 　曹月洲; 　赵林波; 　贾振宇; 　鲁珊珊; 　施海彬; 　刘　圣
Author(s):
XU Zhijia;  CAO Yuezhou;  ZHAO Linbo;  JIA Zhenyu;  LU Shanshan;  SHI Haibin;  LIU Sheng.
Department of Interventional Radiology, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province 210029, China
关键词:
【关键词】 CTA; 侧支循环; 急性大血管闭塞性卒中; 机械取栓; 动脉粥样硬化型狭窄
文献标志码:
A
摘要:
【摘要】　目的　探讨预测急性大脑中动脉M1段闭塞患者动脉粥样硬化型狭窄性闭塞（intracranial atherosclerotic stenosis-related occlusion，ICAS-O）的相关因素。方法　回顾性分析2020年1月至2021年12月于我院接受机械取栓治疗并取得再通的急性大脑中动脉M1段闭塞患者。收集患者的临床及影像学资料，并使用CTA进行侧支循环评分。采用单因素分析及多因素回归分析，探究ICAS-O的相关预测因素。结果　最终纳入患者109例，其中37例（33.9%）为ICAS-O。多因素分析显示，较好的侧支循环（OR=5.343，95%CI=1.969～14.497，P= 0.001）、吸烟史（OR=4.655，95%CI= 1.384～15.653，P=0.013）患者合并ICAS-O的比例较高；而心房颤动（房颤）病史（OR=0.188，95%CI= 0.064～0.555，P=0.002）是ICAS-O阴性预测因素。结论　较好的侧支循环及吸烟史是急性大脑中动脉M1段闭塞患者合并ICAS-O的阳性预测因素，而房颤病史是其阴性预测因素。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：2022-04-22）
（本文编辑：茹　实）
更新日期/Last Update: 2023-03-03