慢性颈动脉闭塞介入治疗后支架内再狭窄的预测因素。

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Song Pan, Yue-Zhou Cao, Chun Zhou, Zhenyu Jia, Lin-Bo Zhao, Hai-Bin Shi, Sheng Liu
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引用次数: 0

摘要

背景:支架内再狭窄(ISR)是颈动脉成形术和支架置入后颈动脉严重狭窄患者发生的潜在严重并发症。然而,在慢性颈内动脉闭塞(CICAO)的介入治疗中,这一现象尚未得到充分的研究。目的:量化ISR率并确定导致该事件的危险因素。材料和方法:本研究纳入了69例在我院成功行血管内再通术的症状性CICAO患者。记录患者的临床资料、结局及预后。通过单因素分析和多因素分析,对ISR的相关因素进行分析。结果:在随访期间,共有11例(15.9%)患者出现明显的ISR bb0 - 70%。其中,5例ISR患者出现症状性再狭窄。我们的研究发现,高脂血症(P = 0.017)、对侧颈内动脉闭塞(P = 0.041)和放射学闭塞至再通时间延长(P = 0.049)可增加CICAO患者发生ISR的风险。结论:CICAO患者干预成功后,ISR并不少见。高脂血症、对侧ICA闭塞、放射学闭塞至再通时间延长是CICAO患者治疗后发生ISR的危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The predictive factors for in-stent restenosis after interventional treatment of chronic carotid artery occlusion.

Background: In-stent restenosis (ISR) is a potential severe complication that occurs in patients with severe carotid artery narrowing after carotid angioplasty and stent placement. However, this phenomenon has not been fully studied in the context of interventional treatment for chronic internal carotid artery occlusion (CICAO).

Purpose: To quantify the ISR rate and identify the risk factors leading to this event.

Material and methods: This study included 69 patients with symptomatic CICAO who underwent successful intravascular recanalization at our institution. Clinical information, outcomes, and prognosis of the patients were recorded. The related factors of ISR were analyzed through univariate and multivariate analysis.

Results: A total of 11 (15.9%) patients developed a significant ISR > 70% during the follow-up period. Among them, five patients with ISR experienced symptomatic restenosis. Our study found hyperlipidemia (P = 0.017), contralateral internal carotid artery occlusion (P = 0.041), and prolonged radiologic occlusion to recanalization time (P = 0.049) could contribute to the risk of ISR in patients with CICAO.

Conclusion: ISR is not rare in patients with CICAO after successful intervention. Hyperlipidemia, contralateral ICA occlusion, and prolonged radiologic occlusion to recanalization time are the risk factors for ISR after treatment in patients with CICAO.

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来源期刊
Acta radiologica
Acta radiologica 医学-核医学
CiteScore
2.70
自引率
0.00%
发文量
170
审稿时长
3-8 weeks
期刊介绍: Acta Radiologica publishes articles on all aspects of radiology, from clinical radiology to experimental work. It is known for articles based on experimental work and contrast media research, giving priority to scientific original papers. The distinguished international editorial board also invite review articles, short communications and technical and instrumental notes.
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