已入深夜,您辛苦了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!祝你早点完成任务,早点休息,好梦!

Reconstructive Endovascular Treatment of Compensative-Flow–Related Posterior Circulation Aneurysms With Anterior Circulation Artery Occlusion

医学 大脑前动脉 外科 闭塞 改良兰金量表 血管成形术 烟雾病 后交通动脉 神经组阅片室 前交通动脉 侧支循环 支架 大脑后动脉 动脉瘤 放射科 大脑中动脉 心脏病学 缺血 神经学 缺血性中风 精神科
作者
Tao Quan,Jingbo Zhang,Jinyi Li,Zhaofei Wang,Xiaojie Fu,Xin Feng,Haowen Xu,Chuanzhi Duan,Sheng Guan
出处
期刊:Neurosurgery [Lippincott Williams & Wilkins]
标识
DOI:10.1227/neu.0000000000003148
摘要

BACKGROUND AND OBJECTIVES: The aim of this study was to delineate the reconstructive endovascular treatment and periprocedural management of compensative-flow–related posterior circulation aneurysms with anterior circulation artery occlusion. METHODS: A total of 87 patients were enrolled in this retrospective double-center cohort study from May 2011 to November 2023. The baseline demographics, aneurysm characteristics, etiology and status of anterior circulation artery occlusion, treatment modalities, anesthesia management, complications, and clinical and angiographic outcomes of the patients were retrospectively analyzed in this study. RESULTS: Atherosclerosis and moyamoya disease were found to be the two main etiologies of anterior circulation artery occlusion. The mean American Society of Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology scores were significantly higher in patients with posterior communicating artery trunk collaterals than those with posterior cerebral artery pial collaterals ( P < .05). Treatment strategies included stent-assisted coiling (55, 63.2%), standard coiling (22, 25.3%), and flow diversion or flow diversion–assisted coiling (8, 9.2%). The overall rate of procedure-related ischemic and hemorrhagic complications (10.3%) was considered acceptable. The ischemic complication was significantly associated with a >20% drop in mean arterial pressure ( P < .05) during the procedure. Finally, 86.2% of all patients showed a modified Rankin Scale score of 0 to 2 at the final clinical follow-up. CONCLUSION: Our study indicates that reconstructive endovascular treatments are feasible and effective strategies for compensative-flow–related posterior circulation aneurysms with anterior circulation artery occlusion. However, these treatments are associated with a risk of periprocedural ischemic complications, which can be reduced by collateral arterial assessment, appropriate periprocedural anesthesia management, and antiplatelet treatment.
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
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
魔幻灯泡完成签到,获得积分10
1秒前
难过的踏歌完成签到,获得积分10
4秒前
大乐完成签到 ,获得积分10
7秒前
小皮皮完成签到,获得积分10
13秒前
杨乃彬完成签到,获得积分10
16秒前
16秒前
黄lala发布了新的文献求助10
20秒前
深情安青应助苹果哲瀚采纳,获得10
24秒前
Pepsi完成签到,获得积分10
26秒前
碧蓝香芦完成签到 ,获得积分10
27秒前
喝可乐的萝卜兔完成签到 ,获得积分10
36秒前
顽强的小刘应助淡定曼文采纳,获得20
37秒前
Sunny完成签到 ,获得积分10
42秒前
开放素完成签到 ,获得积分10
45秒前
Sunny关注了科研通微信公众号
45秒前
科研通AI2S应助rpe采纳,获得10
46秒前
46秒前
Cosmosurfer完成签到,获得积分10
48秒前
51秒前
kk发布了新的文献求助10
52秒前
光亮的绮晴完成签到 ,获得积分10
53秒前
xx完成签到 ,获得积分10
53秒前
本本完成签到 ,获得积分10
54秒前
星流xx完成签到 ,获得积分10
54秒前
清寻完成签到 ,获得积分10
58秒前
三更笔舞发布了新的文献求助20
58秒前
kk完成签到,获得积分20
1分钟前
欧班长完成签到 ,获得积分10
1分钟前
每天都是新的一天完成签到,获得积分10
1分钟前
1分钟前
rpe完成签到,获得积分10
1分钟前
1分钟前
Res_M完成签到 ,获得积分10
1分钟前
跑向wb完成签到,获得积分10
1分钟前
1分钟前
小材不菜发布了新的文献求助20
1分钟前
有趣的银完成签到,获得积分10
1分钟前
Grayball应助科研通管家采纳,获得10
1分钟前
NexusExplorer应助科研通管家采纳,获得10
1分钟前
赘婿应助科研通管家采纳,获得10
1分钟前
高分求助中
Production Logging: Theoretical and Interpretive Elements 2700
Neuromuscular and Electrodiagnostic Medicine Board Review 1000
こんなに痛いのにどうして「なんでもない」と医者にいわれてしまうのでしょうか 510
The First Nuclear Era: The Life and Times of a Technological Fixer 500
岡本唐貴自伝的回想画集 500
Distinct Aggregation Behaviors and Rheological Responses of Two Terminally Functionalized Polyisoprenes with Different Quadruple Hydrogen Bonding Motifs 450
Ciprofol versus propofol for adult sedation in gastrointestinal endoscopic procedures: a systematic review and meta-analysis 400
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 物理 生物化学 纳米技术 计算机科学 化学工程 内科学 复合材料 物理化学 电极 遗传学 量子力学 基因 冶金 催化作用
热门帖子
关注 科研通微信公众号,转发送积分 3671144
求助须知:如何正确求助?哪些是违规求助? 3228098
关于积分的说明 9778242
捐赠科研通 2938305
什么是DOI,文献DOI怎么找? 1609831
邀请新用户注册赠送积分活动 760461
科研通“疑难数据库(出版商)”最低求助积分说明 735962