Department of Neurosurgery, Faculty of Medicine, University of Tsukuba.
Department of Neurosurgery and Comprehensive Stroke Center, Kobe City Medical Center General Hospital.
Neurol Med Chir (Tokyo). 2020 May 15;60(5):271-275. doi: 10.2176/nmc.oa.2019-0243. Epub 2020 Apr 15.
A subgroup analysis of puncture site-related complications listed in the Japanese Registry of NeuroEndovascular Therapy 3, based on retrospective studies, was performed. Puncture site-related complications occurred in 315 (0.73%, average age: 65.2) of 36,708 patients out of all 43,303 registered cases. Carotid artery stenting (CAS, 95 patients, 1.1%, P <0.01) and extracranial percutaneous transluminal angioplasty (PTA, 21 patients, 1.4%, P <0.01) were associated with significantly higher incidence of puncture site-related complications. The incidence of complications correlated with the number of antiplatelet drugs (P <0.001). Although 40% of the puncture complications were treated conservatively, 13% were treated endovascularly and 5% underwent open surgery.
基于回顾性研究，对日本神经血管治疗注册研究 3 中列出的穿刺部位相关并发症进行了亚组分析。在所有登记的 43303 例患者中，有 315 例（0.73%，平均年龄：65.2 岁）发生了穿刺部位相关并发症。颈动脉支架置入术（CAS，95 例，1.1%，P<0.01）和颅外经皮腔内血管成形术（PTA，21 例，1.4%，P<0.01）与穿刺部位相关并发症的发生率显著增加相关。并发症的发生率与抗血小板药物的数量相关（P<0.001）。虽然 40%的穿刺并发症采用保守治疗，但有 13%采用了血管内治疗，5%采用了开放手术。
