Surgery of acute occlusion of the extracranial internal carotid artery - a meta-analysis.
VASA-EUROPEAN JOURNAL OF VASCULAR MEDICINE(2020)
摘要
Acute occlusion of the extracranial internal carotid artery (elCA) is associated with poor prognosis. Surgical desobliteratior has not received adequate attention in recent years. We therefore conducted a literature review and meta-analysis of surgical studies published after 2000 that treated elCA occlusion surgically in an emergency setting. The search identified 10 relevant articles that included a total of 175 patients. The outcomes analysed included rates of recanalization (93 %), early neurological improvement (66 %), modified Rankin Scale 0-2 (62 %), mortality (5 %), early reocclusion %), in-hospital stroke (4 %) and symptomatic intracerebral haemorrhage (4 %). In conclusion, acute surgical desobliteratior of eICA occlusion leads to high rates of recanalization and a majority of patients experience early neurological improvement and achieve favourable outcome. Rates of mortality, early reocclusion, in-hospital stroke and slCH are acceptable in the view of unfavourable natural history.
更多查看译文
关键词
Carotid endarterectomy,stroke,outcome,literature meta-analysis,carotid artery occlusion
AI 理解论文
溯源树
样例
生成溯源树,研究论文发展脉络
Chat Paper
正在生成论文摘要