关键词: Moyamoya disease new or expanded infarction revascularization risk factor

Mesh : Humans Moyamoya Disease / surgery complications Male Female Risk Factors Cerebral Revascularization / adverse effects methods Adult Middle Aged Adolescent Young Adult Postoperative Complications / epidemiology etiology Posterior Cerebral Artery / surgery Retrospective Studies Child Hypotension / etiology epidemiology Cerebral Infarction / etiology epidemiology

来  源:   DOI:10.1080/07853890.2024.2362872   PDF(Pubmed)

Abstract:
UNASSIGNED: Eventually, 108 consecutive patients received 174 surgeries were enrolled, experienced new or expanded infarction occured in 13 (7.47%) surgeries, which showed higher Suzuki stage on the non-operative side, more posterior cerebral artery (PCA) involvement, and more intraoperative hypotension compared to those without infarction(p < .05). The Suzuki stage on the non-operative side had the highest area under the curve (AUC) of 0.737, with a sensitivity of 0.692 and specificity of 0.783. Combination of the three factors showed better efficiency, with an AUC of 0.762, a sensitivity of 0.692, and a specificity of 0.907.
UNASSIGNED: Revascularization was a safe option for patients with MMD, higher Suzuki stage on the non-operative side, PCA involvement, and intraoperative hypotension might be the risk factors for new or expanded infarction after revascularization in patients with MMD.
摘要:
最终,108例连续接受174例手术的患者入组,经历新的或扩大的梗塞发生在13(7.47%)手术,在非手术侧显示出更高的铃木舞台,更多的大脑后动脉(PCA)的参与,术中低血压高于无梗死患者(p<0.05)。非手术侧的Suzuki分期的曲线下面积(AUC)最高,为0.737,灵敏度为0.692,特异性为0.783。三个因素的组合表现出更好的效率,AUC为0.762,灵敏度为0.692,特异性为0.907。
血运重建是MMD患者的安全选择,在非手术侧更高的铃木舞台,PCA参与,术中低血压可能是MMD患者血运重建后新发或扩大梗死的危险因素。
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