中国卒中杂志2017，Vol.12Issue(7)：579-583,5.DOI:10.3969/j.issn.1673-5765.2017.07.003
动脉粥样硬化性和心源性颅内大血管闭塞对血管内治疗反应性差异研究
Study on the Difference of Response to Endovascular Recanalization Treatment of Large Vessel Occlusion: Intracranial Atherosclerosis versus Cardioembolism
周腾飞 1朱良付 1李天晓 1王子亮 1冯光 1白卫星 1薛绛宇 1李立1
作者信息
- 1. 郑州大学人民医院(河南省人民医院)介入科,河南省介入治疗中心 郑州 450003
- 折叠
摘要
Abstract
Objective To investigate the clinical characteristics and the difference of response of endovascular treatment in patients with acute large artery occlusion caused by intracranial atherosclerotic disease (IAD) and cardioembolism (CE) reason. Methods A retrospective analysis of data of patients with acute ischemic stroke with large artery occlusion who received endovascular treatment in our center was performed. The clinical characteristics, ways of endovascular treatment, vascular recanalization status, peri-operational complications and post-operation improvement of neurological functions were compared. Results A total of 46 patients who received endovascular treatment were categorized to CE group (n=22) and underlying IAD group (n=24). Prevalence of male (75% vs 36%, P=0.008), tobacco (33% vs 9%, P=0.046) in IAD group were higher than CE group, and the prevalence of AF was significantly higher than IAD group (0% vs 82%, P<0.001). The prevalence of acute angioplasty with or without stenting was higher in IAD group (67% vs 27%, P=0.008). There were no significant difference in rate of final recanalization, procedure complications and post-operation improvement of neurological functions. Conclusion Clinical risk factors and treatment strategy for acute arterial occlusions due to IAD may differ from those due to CE. Endovascular recanalization treatment in patients with acute large artery occlusion caused by IAD always needs the combination of angioplasty.关键词
缺血性卒中/大血管闭塞/支架/动脉粥样硬化/心源性栓塞Key words
Ischemic stroke/Large artery occlusion/Stent/Atherosclerotic disease/Cardioembolism引用本文复制引用
周腾飞,朱良付,李天晓,王子亮,冯光,白卫星,薛绛宇,李立..动脉粥样硬化性和心源性颅内大血管闭塞对血管内治疗反应性差异研究[J].中国卒中杂志,2017,12(7):579-583,5.
