医学
外科
颈内动脉
鼻咽癌
旁路移植
放射治疗
动脉
改良兰金量表
回顾性队列研究
癌
内科学
缺血
缺血性中风
作者
Zhouyang Zhao,Lijin Huang,Jinhua Chen,Wei-Jia Huang,Xiaobin Zhang,Yue Ma,Hongshen Zhu,Zhang Liu
标识
DOI:10.1016/j.amjoto.2020.102860
摘要
We aimed to assess the clinical efficacy of bypass grafting in recurrent nasopharyngeal carcinoma patients with internal carotid artery invasion. A retrospective analysis was performed involving 51 patients either operated by bypass grafting (n = 22) or treated with repeated chemo-radiotherapy (n = 29). Four patients in the bypass grafting group died 3–5 months after the operation due to epistaxis and pulmonary infection (4/22, 18.2%), and three more patients exhibited a modified Rankin Scale (mRS) ≥ 2 during the follow-up (3/22, 13.6%). In the repeated chemo-radiotherapy group, 8 patients died (8/29, 27.6%), including seven patients dying within 2–3 months due to epistaxis and pulmonary infection (7/29, 24.1%). One more patient died of epistaxis after 9 months. The difference in mortality between the two treatment groups within 3 months of treatment was statistically significant (P = 0.038). Cerebrovascular reconstruction after detailed collateral flow assessment is an effective treatment for recurrent NPC patients with internal carotid artery invasion.
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