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作为心脏导管插入术并发症的中风:危险因素与临床特征

Stroke as a complication of cardiac catheterization: risk factors and clinical features.

作者信息

Segal A Z, Abernethy W B, Palacios I F, BeLue R, Rordorf G

机构信息

Department of Neurology, Cornell University Medical Center, New York, NY 10021, USA.

出版信息

Neurology. 2001 Apr 10;56(7):975-7. doi: 10.1212/wnl.56.7.975.

Abstract

The authors aimed to delineate the risk factors and radiologic pattern of stroke complicating cardiac catheterization. Twenty-two cases were matched with three control subjects. Stroke was significantly associated with severity of coronary artery disease and length of fluoroscopy time (OR 1.96 and 1.65). The use of MRI with diffusion weighting allowed the identification of multiple asymptomatic lesions and a subset of lacunar-type infarcts (23%), which most likely occurred on an atheroembolic basis.

摘要

作者旨在明确心脏导管插入术并发中风的危险因素和放射学模式。22例病例与3名对照受试者进行匹配。中风与冠状动脉疾病的严重程度和透视时间长短显著相关(比值比分别为1.96和1.65)。使用弥散加权磁共振成像能够识别多个无症状性病变以及一部分腔隙性梗死(23%),这些梗死很可能是由动脉粥样硬化栓塞引起的。

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