个人中心| | 帮助
高级检索
当前位置： 首页 > 详情页

The efficacy of STA-MCA double anastomosis comparing to single anastomosis in chronic internal carotid artery occlusion patients

| 认领 | 导出 | |

文献详情

资源类型：
WOS体系：
Pubmed体系：

收录情况： ◇ SCIE

作者：
Chang Xuying[1] * ; Ruan Xiaoling[2] ; Ding Jiangbo[3] ; Ma Peiyu[4] ; Yang Guangwu[1] ; Zhang Ruoyu[1] ; Li Yuhan[1] ; Na Kunpeng[1] ; Xu Hang[5] ; Mu Linjie[6] ; Zhang Xingkui[6] ; Tang Zhiwei[6,*1] ;
机构： [1]Kunming Medical University, Kunming, Yunnan, China [2]University of Pavia, Pavia, Italy [3]Department of Neurosurgery, South Yunnan Central Hospital of Yunnan Province (The First People,s Hospital of Honghe Prefecture), Mengzi, Yunnan,China [4]Department of surgery, The Second People’s Hospita of Honghe Prefecture, Jianshui, Yunnan, China [5]Department of Pain,The First People’s Hospital of Zhaotong, Zhaotong, Yunnan, China [6]Department of Neurosurgery, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
出处：
DOI： 10.1016/j.clineuro.2023.107947
ISSN：

关键词： Chronic internal carotid artery occlusion STA-MCA single anastomosis STA-MCA double anastomosis Neurological function score CTP

摘要：
To investigate the efficacy of STA-MCA double-anastomosis and single-anastomosis in patients with cerebral hypoperfusion caused by chronic internal carotid artery occlusion(CICAO).In this retrospective study, data were collected from 19 patients with CICAO who underwent STA-MCA anastomosis at our hospital between January 2016 and January 2022, and they were divided into single anastomosis group and double anastomosis group according to the surgical method. The study collected general clinical data from both groups, including age, sex, lipid levels, blood pressure, glucose levels, smoking and alcohol consumption. Additionally, pre- and postoperative neurological function, cerebral hemodynamic parameters, and postoperative ischemic events were also recorded. By combining our study findings with the existing literature, a comparative analysis of the efficacy of single- and double-anastomosis in patients with CICAO was conducted.Prior to surgical treatment，there were no statistically significant differences in cerebral hemodynamic parameters, including rob (0.65 ± 0.09 VS. 0.62 ± 0.04), rut (1.73 ± 0.40 VS. 1.99 ± 0.53), and rTMax (2.02 ± 0.49 VS. 1.72 ± 0.46), as well as neurofunctional scores, including modified Rankin Scale (MRS) (2.8 ± 1.03 VS. 2.4 ± 0.88) and National Institutes of Health Stroke Scale (NIHSS) (9.1 ± 5.08 VS. 8.3 ± 4.09) between the two groups. After operation, rCBF (single: 0.65 ± 0.09 VS.0.84 ± 0.08, p = 0.007; double: 0.62 ± 0.04 VS.1.08 ± 0.20, p = 0.001) were significantly increased in both groups, but the rMTT (1.99 ± 0.53 VS.1.27 ± 0.42, p = 0.0447) and rTMax (1.72 ± 0.46 VS.1.16 ± 0.16, p = 0.038) showed significant differences postoperatively only in the double-anastomosis group. The MRS (single: 1.8 ± 1.23, double: 1.7 ± 0.9) in both groups and the NIHSS (7.2 ± 5.11) in single-anastomosis group were not improved after surgery, while the NIHSS (8.3 ± 4.09 VS.4.4 ± 3.08, p = 0.037) in double-anastomosis group was improve significantly. In summary, the double-anastomosis group showed better improvement in rCBF and NIHSS scores compared to the single-anastomosis group.(ΔrCBF: 0.19±0.09 VS. 0.45±0.18, p=0.02, ΔNIHSS: 1.9±0.56 VS. 4±1.73, p=0.002). The cases were followed up for 20.3 ± 18.6 months, and there were no ischemic events in either group during the follow-up period.STA-MCA revascularization can improve CBF in patients with hypoperfusion caused by CICAO, and prevent the reoccurrence of ischemic stroke effectively. Compared with single-anastomosis, double-anastomosis can provide more CBF and improve neurologic dysfunction.Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.

基金：
Yunnan Clinical Medical Center of Nervous System Diseases (ZX2019–03–05) Yunnan Province High Level Talent Training Support Program Young top talent Project (RLTZW20210629) 535 Talent Project of First Affiliated Hospital of Kunming Medical University (2022535D04).
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2023]版：
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 外科
最新[2025]版：
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 外科
JCR分区：
出版当年[2022]版：
Q3 SURGERY Q4 CLINICAL NEUROLOGY
最新[2023]版：
Q2 SURGERY Q3 CLINICAL NEUROLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者：
第一作者机构： [1]Kunming Medical University, Kunming, Yunnan, China
通讯作者：
通讯机构： [6]Department of Neurosurgery, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
推荐引用方式(GB/T 7714)：
Chang Xuying,Ruan Xiaoling,Ding Jiangbo,et al.The efficacy of STA-MCA double anastomosis comparing to single anastomosis in chronic internal carotid artery occlusion patients[J].CLINICAL NEUROLOGY AND NEUROSURGERY.2023,233:doi:10.1016/j.clineuro.2023.107947.
APA：
Chang Xuying,Ruan Xiaoling,Ding Jiangbo,Ma Peiyu,Yang Guangwu...&Tang Zhiwei.(2023).The efficacy of STA-MCA double anastomosis comparing to single anastomosis in chronic internal carotid artery occlusion patients.CLINICAL NEUROLOGY AND NEUROSURGERY,233,
MLA：
Chang Xuying,et al."The efficacy of STA-MCA double anastomosis comparing to single anastomosis in chronic internal carotid artery occlusion patients".CLINICAL NEUROLOGY AND NEUROSURGERY 233.(2023)

相关文献

[1]多发性肌炎/皮肌炎伴呼吸系统损害患者的临床护理策略探讨 [2]省第一人民医院 学史力行 “医”心为民 [3]超前镇痛对干预下肢骨科手术术后深静脉血栓的临床分析 [4]氯胺酮复合骶管阻滞麻醉在小儿疝气切除术中的应用观察 [5]~(131)I治疗GRAVES病远期疗效分析 [6]抗淋巴细胞球蛋白联合环孢菌素A治疗重型再生障碍性贫血2例 [7](131)I治疗少年儿童GRAVES病31例分析 [8]12例全口咬He重建的制作体会 [9]颅内外伤性血肿五十例脑血管(颈动脉)造影分析(上) [10]体痒验案三则

资源点击量：87984 今日访问量：0 总访问量：732 更新日期：2025-04-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 云南省第一人民医院 技术支持：重庆聚合科技有限公司 地址：云南省昆明市西山区金碧路157号