Study of prognosis and influencing factors of circulatory infarction after intravascular intervention
- VernacularTitle:血管内介入治疗后循环梗死预后及影响因素研究
- Author:
Ying JIN
1
;
Chunying LI
1
;
Dongsheng JU
1
Author Information
- Publication Type:Journal Article
- Keywords: Intravascular interventional treatment; Posterior circulation infarction; Prognosis; Influence factor
- From: Journal of Apoplexy and Nervous Diseases 2020;37(11):1027-1030
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the prognosis and influencing factors of intravascular interventional therapy for posterior circulation infarction. Method For selecting our department admitted in October 2019 and October 2017-two years hospitalized with a total of 42 cases of clinically diagnosed patients with posterior circulation infarction，patient gender，age，on admission，the main symptoms and signs，pathogenic factors，pathogenesis time interval，when to see a doctor to vascular disease opening time，lesion blood vessel parts，collateral compensatory，operation method choice and recanalization，vascular interventional treatment and postoperative 7 days before the NIHSS score，GCS score，mRS score when discharged from hospital，postoperative complications and prognosis of 90 days. According to the improved Rankin score of patients with 90-day prognosis，the patients were divided into a good prognosis group （mRS score <4 points） and a poor prognosis group （mRS score ≥ 4 points），and statistical analysis was conducted. Results （1） For posterior circulation infarction，multiple interventional therapies were used to treat the lesion vessel opening rate of 71.4%，the 3-month mortality rate of posterior circulation infarction was 28.6%. And the good prognosis rate was 50%. （2）Univariate analysis suggested a statistically significant difference in the prognosis of patients with smoking P<0.01）. （3）Logistic regression analysis showed that after adjusting for cerebrovascular risk factors such as smoking，lower basilar artery occlusion was associated with poor prognosis. （4）Good intraoperative lesion vessels （Ⅱb level or Ⅲ level） and is related to good prognosis. Conclusion Endovascular interventional therapy is an efficient and rapid method for posterior circulation infarction to open blood vessels. Good recanalization of diseased blood vessels during operation is positively correlated with good prognosis，while smoking and lower basilar artery occlusion are correlated with poor prognosis.
- Full text:2024073115392737784血管内介入治疗后循环梗死预后及影响因素研究.pdf
