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Hemodynamic alterations in unilateral chronic middle cerebral artery stenosis patients and the effect of percutaneous transluminal angioplasty and stenting: a perfusion-computed tomography study

机译:单侧慢性大脑中动脉狭窄患者的血流动力学改变以及经皮腔内血管成形术和支架置入术的影响:灌注计算机断层扫描研究

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摘要

Background: The Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) trial indicated that most patients with symptomatic intracranial atherosclerosis are not good candidates for percutaneous transluminal angioplasty and stenting (PTAS) because of a higher complication risk than with conservative treatment. However, enrollment of SAMMPRIS patients was based on lesion severity only, without functional imaging.
机译:背景:预防颅内狭窄复发性卒中的支架和积极的药物治疗(SAMMPRIS)试验表明,大多数有症状的颅内动脉粥样硬化患者都不适合进行经皮腔内血管成形术和支架置入术(PTAS),因为其并发症风险高于保守治疗。但是,SAMMPRIS患者的入组仅基于病变严重程度,而没有功能性影像学检查。

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