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Factors associated with delayed intracerebral hemorrhage after superficial temporal artery-middle cerebral artery bypass in stenoocclusive cerebrovascular diseases

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Chinese Medical Journal 2014年第4期127卷 633-637页

作者： maozq YuXG Li M Li WA Department of Neurosurgery General Hospital of People&#39 s Liberation Army Medical School of Chinese People&#39 s Liberation Army Beijing 100853 China Department of Neurosurgery Xuan Wu Hospital Capital Medical University Beijing China Department of Neurosurgery Wayne State University School of Medicine USA

Background Intra-cerebral hemorrhage （ICH） is a devastating complication that can result from superficial temporal artery-middle cerebral artery （STA-MCA） bypass in patients undergoing treatment for steno-occlusive cerebrovascular disease （CVD）.There is a clinical need to find the possible risk factors to prevent ICH,as it is a significant cause of mortality and *** aim of the study was to investigate the factors associated with delayed ICH after STA-MCA bypass in patients with steno-occlusive *** We retrospectively analyzed the records of 163 patients seen from 2002 to 2011 with STA-MCA bypass for steno-occlusive cerebrovascular diseases at the Department of Neurosurgery,Xuan Wu Hospital,*** and clinical data,including age,gender,vascular risk factors,preoperative syndrome,preoperative National Institutes of Health Stroke Scale （NIHSS）,ipsilateral ischemic lesions,classification of steno-occlusive CVDs,donor branches of STA,graft patency,postoperative hypertension,and postoperative-increased MCA velocity were recorded and *** Logistic regression served to identify factors associated with delayed ICH after STA-MCA *** We identified 8 （4.9%） patients with delayed ICH after STA-MCA *** with hypertension,preoperative stroke,ipsilateral ischemic lesions,postoperative hypertension and postoperative-increased MCA velocity were significantly more prone to experiencing delayed ICH after STA-MCA *** regression analysis shows ipsilateral ischemic lesions,postoperative hypertension,and postoperative-increased MCA velocity remained independent predictors for delayed ICH after STA-MCA *** Despite the varied associated factors in patients with steno-occlusive CVDs,ipsilateral ischemic lesions,postoperative hypertension,and postoperative-increased MCA velocity could be associated with delayed ICH after STAMCA bypass.

关键词： risk factors cerebral hemorrhage cerebral revascularization cerebrovascular disorders

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