发展中国家颈动脉支架植入术的治疗效果。

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Revista da Associacao Medica Brasileira Pub Date : 2023-01-01 DOI:10.1590/1806-9282.20220525

Isabella Sales de Macêdo, Rafaela Almeida Alquères, Lorena Souza Viana, Paulo Puglia Júnior, Adriana Bastos Conforto

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引用次数: 0

摘要

目的:本研究的目的是调查发展中国家颈动脉支架植入术的轻微并发症的细节。方法:这是一项回顾性的单中心研究，目标组包括65例接受颈动脉支架植入术的有症状患者。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)以及有和无并发症组之间的差异。结果:15例患者出现轻微围手术期并发症。共有8例(12.3%)发生过性低血压，6例(9.2%)发生心动过缓，7例(10.7%)发生急性肾损伤，2例(3.1%)发生血管痉挛，1例(1.5%)发生过性脑缺血发作。女性的轻微并发症发生率更高(p=0.051)。结论:在发展中国家进行颈动脉支架植入术的结果是可以接受的。

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Treatment results of carotid artery stenting in a developing country.

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.

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来源期刊

Revista da Associacao Medica Brasileira 医学-医学：内科

CiteScore

2.20

自引率

0.00%

发文量

276

审稿时长

12 weeks

期刊介绍： A Revista da Associação Médica Brasileira (RAMB), editada pela Associação Médica Brasileira, desde 1954, tem por objetivo publicar artigos que contribuam para o conhecimento médico.