Prognosis of Patients With Unilateral Extracranial Occlusion of the Internal Carotid Artery
Prognosis of Patients With Unilateral Extracranial Occlusion of the Internal Carotid Artery
复制标题
单侧颈内动脉颅外闭塞患者的预后
DOI：
10.1161/01.str.7.5.480
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发表时间：
1976
期刊：
影响因子：
8.3
通讯作者：
R. Fogelholm
中科院分区：
文献类型：
--
作者：
O. Waltimo;M. Kaste;R. Fogelholm
155名患者（121名男性和34名女性）在颈动脉分叉后立即进行血管造影证实单侧颈内动脉（伊卡）闭塞。中位随访期为53个月。40%的患者在日常生活活动（ADL）中完全独立，22%的患者在ADL中需要帮助，11%的患者残疾，22%的患者在随访期间死亡。与以前的系列相比，死亡率特别低。对材料的生命表分析表明，第一年的存活率为94%，第三年为84%，第五年为78%。年轻有利于功能恢复，但对死亡率无影响。急性期病情是判断预后最重要的临床指标。吸烟者的死亡率和功能恢复的预后比不吸烟者差，高血压对预后没有影响。在这项研究中，脑血管疾病和冠心病被发现是同等频率的死亡原因。
One hundred fifty-five patients (121 men and 34 women) had an angiographically verified unilateral internal carotid artery (ICA) occlusion immediately after carotid bifurcation. The median follow-up period was 53 months. Forty-fire percent of the patients were fully independent in the activities of daily living (ADL), 22% required assistance in ADL, 11% were disabled, and 22% died within the follow-up period. The mortality rate was exceptionally low compared with previous series. A life-table analysis of the material gave a 94% probability of surviving the first year, 84% the third year, and 78% the fifth year. Young age was favorable in regard to functional recovery, but it had no influence on mortality. The condition at the acute stage was the most important clinical sign in predicting the prognosis. The prognosis of mortality and functional recovery was poorer for smokers than for nonsmokers, and hypertension had no effect on prognosis. Cerebrovascular disease and coronary heart disease were found to be the cause of death with equal frequency in this study.