Risk factors of perioperative hemodynamic disorders after carotid artery stenting for carotid sinus stenosis
10.3969/j.issn.1002-1671.2025.08.027
- VernacularTitle:颈动脉窦部狭窄支架植入术后发生围手术期血流动力学障碍的危险因素分析
- Author:
Jinhua QIAN
1
;
Zhuo CHEN
1
;
Ruifan YUAN
1
;
Wenbin DING
1
;
Qingjie CHI
1
Author Information
1. 南通大学第二附属医院介入科,江苏 南通 226600
- Publication Type:Journal Article
- Keywords:
carotid artery;
carotid sinus;
calcification;
carotid artery stenting;
hemodynamic disorders
- From:
Journal of Practical Radiology
2025;41(8):1379-1382
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors associated with perioperative hemodynamic disorders(HD)following carotid artery stenting(CAS)for carotid sinus stenosis.Methods The clinical data of 71 patients who underwent CAS for carotid sinus stenosis were retrospectively analyzed.The patients were divided into the HD group(20 cases)and the non-HD group(51 cases)based on the occurrence of HD,and inter-group comparisons along with binary logistic regression analysis were performed.All patients underwent carotid computed tomography angiography(CTA)prior to surgery.Results In the HD group,the duration of dopamine usage ranged from 9 to 71 hours,the mean age was(73.90±5.24)years old(P=0.038),and the average length of hospital stay was(9.60±3.63)days(P＜0.001).Univariate logistic regression analysis revealed that plaque calcification(P=0.035),annular calcification(P＜0.001),plaque length(P=0.012),and the degree of stenosis(P=0.014)were associated with perioperative HD after CAS.Multivariate logistic regression analysis identified annular calcification and plaque length as independent predictors of perioperative HD(P＜0.05).Conclusion Age,plaque calcification,annular calcification,plaque length,and the degree of stenosis are closely associated with the occurrence of perioperative HD after CAS in patients with carotid sinus stenosis.Annular calcification and plaque length are independent risk factors for the occurrence of HD.
