JAMA Neurol:机械血栓切开术治疗急性大血管闭塞卒中

2019-09-25 MedSci MedSci原创

研究认为,对于轻度缺陷性急性大血管闭塞患者,接受机械血栓切开术的疗效与现行指南疗法相当

急性大血管闭塞(ELVO)所致脑卒中患者(国立卫生研究院卒中量表[NIHSS]评分<6分)接受机械血栓切开术(MT)的疗效尚不确定。近日研究人员比较了MT与最佳医疗管理(bMM)治疗轻度缺陷性ELVO(mELVO)患者的疗效差异。

本次研究为系统综述及荟萃分析,16个中心,5年的mELVO患者参与,疗效结果包括3个月的良好功能和3个月的功能独立性评估,分别定义为0-1和0-2的改良Rankin评分。安全性结果包括3个月死亡率、症状性和无症状性颅内出血(ICH)。

251名mELVO患者,接受MT治疗(n=138;65名女性;平均年龄:65.2岁;中位数NIHSS评分:4)或bMM(n=113;51名女性;平均年龄:64.8;中位数NIHSS评分:3)。在bMM组中,无症状ICH的发生率较低(4.6% vs 17.5%),在MT组中,3个月的FI率较低 (77.4% vs 88.5%)。两组在其他疗效或安全性方面没有差异。在多变量分析中,MT与无症状ICH的较高风险相关(比值比[OR]:11.07)。在对4项研究(843名患者)的Meta分析中,MT与症状ICH的发生率较高相关(OR:5.52)。

研究认为,对于轻度缺陷性急性大血管闭塞患者,接受机械血栓切开术的疗效与现行指南疗法相当。

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    2020-03-08 yinhl1978
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    2019-12-07 kkunny
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    2019-09-25 健健

    卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!

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