颈动脉支架置入术在发展中国家的治疗结果。
Treatment results of carotid artery stenting in a developing country.
机构信息
Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Division of Internal Medicine - São Paulo (SP), Brazil.
Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Division of Neurology - São Paulo (SP), Brazil.
出版信息
Rev Assoc Med Bras (1992). 2023 Apr 14;69(4):e20220525. doi: 10.1590/1806-9282.20220525. eCollection 2023.
OBJECTIVE
The purpose of this study was to investigate the details of minor complications of carotid artery stenting in a developing country.
METHODS
This was a retrospective, single-center study conducted on the target group consisting of 65 symptomatic patients who underwent carotid artery stenting. We assessed technical success rate, periprocedural complication within 30 days (hypotension, bradycardia, acute kidney injury, vasospasm, a transient ischemic attack, stroke, myocardial infarction, and death), and the differences between groups with and without complications.
RESULTS
Minor periprocedural complications occurred in 15 patients. In all, 8 (12.3%) had transient hypotension, 6 (9.2%) had bradycardia, 7 (10.7%) had acute kidney injury, 2 (3.1%) had vasospasm, and 1 (1.5%) had transient ischemic attack. A greater rate of minor complications was observed in women (p=0.051).
CONCLUSION
The results of the carotid artery stenting procedures performed in a developing country were acceptable.
目的
本研究旨在探讨发展中国家颈动脉支架置入术的轻微并发症细节。
方法
这是一项回顾性、单中心研究，针对 65 名接受颈动脉支架置入术的有症状患者进行。我们评估了技术成功率、30 天内围手术期并发症（低血压、心动过缓、急性肾损伤、血管痉挛、短暂性脑缺血发作、中风、心肌梗死和死亡），以及有并发症和无并发症组之间的差异。
结果
15 名患者发生轻微围手术期并发症。共有 8 名（12.3%）患者出现短暂性低血压，6 名（9.2%）患者心动过缓，7 名（10.7%）患者急性肾损伤，2 名（3.1%）患者血管痉挛，1 名（1.5%）患者短暂性脑缺血发作。女性轻微并发症发生率更高（p=0.051）。
结论
在发展中国家进行的颈动脉支架置入术的结果是可以接受的。
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