Endovascular Recanalization of Symptomatic Nonacute Intracranial Internal Carotid Artery Occlusion: Proposal of a New Angiographic Classification

医学 围手术期 闭塞 外科 并发症 颈内动脉 心脏病学 冲程(发动机) 内科学 放射科 机械工程 工程类
作者
Feng Gao,Xuan Sun,Xu Guo,D. Li,Guodong Xu,Zhongrong Miao
出处
期刊:American Journal of Neuroradiology [American Society of Neuroradiology]
卷期号:42 (2): 299-305 被引量:15
标识
DOI:10.3174/ajnr.a6928
摘要

The optimal treatment for symptomatic nonacute intracranial ICA occlusion is uncertain, and endovascular recanalization remains a technical challenge. Our purpose was to report multicenter clinical results of endovascular recanalization for medically refractory, nonacute, intracranial ICA occlusion and to propose a new angiographic classification to explore which subgroups of patients are most amenable to this treatment.From January 2015 to December 2019, thirty-six consecutive patients who underwent endovascular recanalization for refractory, nonacute, atherosclerotic intracranial ICA occlusion at 3 stroke centers were analyzed retrospectively. The patients were divided into 3 types according to an angiographic classification. Rates of technical success, periprocedural complications, and any stroke or death within 30 days along with follow-up results were evaluated.The overall technical success rate was 80.6% (29/36), and the rate of any stroke or death within 30 days was 16.7% (6/36). The recanalization success rate gradually decreased from type I to type III in the 3 classification groups (92.9%, 81.3%, and 50%, P = .038), and the opposite was true of the perioperative complication rates (7.1%, 18.8%, and 50%, P = .038). Type I lesions showed favorable recanalization effects, 92.9% technical success rates, and 7.1% perioperative complications.Endovascular recanalization for nonacute atherosclerotic intracranial ICA occlusion is technically feasible, especially in patients with type I lesions, and could offer an alternative option for patients with recurrent ischemic symptoms despite aggressive medical therapy. The angiographic classification proposed is conducive to the selection of suitable patients and difficulty in grading.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
Zoom完成签到,获得积分10
刚刚
1989完成签到,获得积分10
刚刚
1秒前
Ava应助123采纳,获得30
1秒前
3秒前
3秒前
orixero应助iwhisper采纳,获得10
3秒前
4秒前
4秒前
4秒前
5秒前
5秒前
drdouxia发布了新的文献求助10
5秒前
戴先森完成签到,获得积分10
7秒前
www完成签到,获得积分20
7秒前
8秒前
尊敬的人达完成签到,获得积分10
8秒前
hb发布了新的文献求助10
8秒前
8秒前
温暖霸完成签到,获得积分10
8秒前
8秒前
Zhugengjie发布了新的文献求助30
9秒前
9秒前
戴先森发布了新的文献求助10
9秒前
yy发布了新的文献求助10
10秒前
yangliera完成签到,获得积分10
10秒前
甜甜的曼荷完成签到,获得积分10
10秒前
12秒前
stefan发布了新的文献求助10
13秒前
陌小千完成签到 ,获得积分10
13秒前
11发布了新的文献求助10
13秒前
13秒前
斯文败类应助贪玩嘉懿采纳,获得10
14秒前
星辰大海应助Abbysteven采纳,获得30
14秒前
沸点发布了新的文献求助10
14秒前
14秒前
15秒前
烟花应助缥缈凌萱采纳,获得10
16秒前
无花果应助Zhugengjie采纳,获得10
16秒前
hx完成签到,获得积分10
17秒前
高分求助中
Sustainability in Tides Chemistry 2800
The Young builders of New china : the visit of the delegation of the WFDY to the Chinese People's Republic 1000
Rechtsphilosophie 1000
Bayesian Models of Cognition:Reverse Engineering the Mind 888
Le dégorgement réflexe des Acridiens 800
Defense against predation 800
Very-high-order BVD Schemes Using β-variable THINC Method 568
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3135752
求助须知:如何正确求助?哪些是违规求助? 2786595
关于积分的说明 7778521
捐赠科研通 2442742
什么是DOI,文献DOI怎么找? 1298676
科研通“疑难数据库(出版商)”最低求助积分说明 625205
版权声明 600866