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AWT IMAGE

AWT IMAGE

:: Volume 21, Issue 4 (10-2023) ::
Int J Radiat Res 2023, 21(4): 707-711 Back to browse issues page
Computed tomography guided nerve interventional therapy in ischemic cerebrovascular disease
Y. Quan , Y. Jin , Y. Liu , S. Hu , X. Yin , M. Jin , W. Jiang
Department of Vascular Neurosurgery, New Era Stroke Care and Research Institute, The PLA Rocket Force Characteristic Medical Center, Beijing 100088, China , jiangweijian2018@163.com
Abstract:   (478 Views)
Background: To explore the impact of head and neck computed tomography (CT) guided nerve interventional therapy in ischemic cerebrovascular disease (ICVD) patients. Materials and Methods: Patients with ICVD (n=100) admitted to our hospital from December 2021 to December 2022 were selected and randomly allocated into control group (CG) and observation group (OG). The CG received drug treatment, and the OG drug treatment before surgery and treated with head and neck CT combined with nerve intervention therapy. Interventional therapy was conducted via endovascular stenting. The National Institute Health of Stroke Scale (NIHSS) score, activities of daily living (ADL) score, vascular recanalization rate, blood flow of the diseased vessels along with occurrence of adverse reactions in both groups were compared. Results: After therapy, NIHSS score in both groups was declined, and lower in the OG relative to the CG (P<0.05), while ADL score in both groups was elevated, and higher in the OG relative to the CG (P<0.05). The vascular recirculation rate of the OG was 86.00%, higher relative to 60.00% in the CG (P<0.05). Vs (peak systolic flow velocity) and Vd (end diastolic flow velocity) in both groups was lessened post treatment, and lower in the OG relative to the CG (P<0.05). The occurrence of adverse reactions in two groups showed no significant difference (P>0.05). Conclusion: CT guided nerve interventional therapy was effective for the treatment of ICVD patients, which promoted vascular recanalization and nerve function recovery, effectively improve vascular endothelial function and cerebral blood flow of patients, and improve patient life quality.
Keywords: Cerebrovascular disease, computed tomography, hypoxia-ischemia, nerve interventional therapy, vascular recanalization.
Full-Text [PDF 633 kb]   (316 Downloads)    
Type of Study: Original Research | Subject: Radiation Biology
References
1. Peng LP, Cao Y, Zhao SL, et al. (2019) Memory T cells delay the progression of atherosclerosis via AMPK signaling pathway. Annals of Translational Medicine, 7(23): 782. [DOI:10.21037/atm.2019.11.20] [PMID] []
2. Liu W, Wong A, Law AC, et al. (2015) Cerebrovascular disease, amyloid plaques, and dementia. Stroke, 46(5): 1402-7. [DOI:10.1161/STROKEAHA.114.006571] [PMID]
3. Caprio FZ and Sorond FA (2019) Cerebrovascular Disease: Primary and Secondary Stroke Prevention. Med Clin North Am, 103(2): 295-308. [DOI:10.1016/j.mcna.2018.10.001] [PMID]
4. Al-Kawaz M, Cho SM, Gottesman RF, et al. (2022) Impact of Cerebral Autoregulation Monitoring in Cerebrovascular Disease: A Systematic Review. Neurocrit Care, 36(3): 1053-70. [DOI:10.1007/s12028-022-01484-5] [PMID]
5. Wang X, Zhang X, Guan Q, et al. (2022) Clinical effect of digital subtraction angiography combined with neurointerventional thrombolysis for acute ischemic cerebrovascular disease and its influence on vascular endothelial function and oxidative stress. Oxidative Medicine and Cellular Longevity, 2022: 2777865. [DOI:10.1155/2022/2777865] [PMID] []
6. Zhao QQ, Li X, Luo LP, et al. (2019) Repurposing of approved cardiovascular drugs against ischemic cerebrovascular disease by disease-disease associated network-assisted prediction. Chem Pharm Bull (Tokyo), 67(1): 32-40. [DOI:10.1248/cpb.c18-00634] [PMID]
7. Hao Y, Qi Z, Ding Y, et al. (2019) Effect of interventional therapy on IL-1╬▓, IL-6, and neutrophil-lymphocyte ratio (NLR) levels and outcomes in patients with ischemic cerebrovascular disease. Med Sci Monit, 25: 610-7. [DOI:10.12659/MSM.912064] [PMID] []
8. Feng S, Yang Q, Liu M, et al. (2011) Edaravone for acute ischaemic stroke. The Cochrane Database of Systematic Reviews, 12: Cd007230. [DOI:10.1002/14651858.CD007230.pub2] [PMID]
9. Mukherjee A, Muthusami P, Mohimen A, et al. (2017) Noncontrast Computed Tomography versus Computed Tomography Angiography Source Images for Predicting Final Infarct Size in Anterior Circulation Acute Ischemic Stroke: a Prospective Cohort Study. J Stroke Cerebrovasc Dis, 26(2): 339-46. [DOI:10.1016/j.jstrokecerebrovasdis.2016.09.026] [PMID]
10. Dehkharghani S and Andre J (2017) Imaging approaches to stroke and neurovascular disease. Neurosurgery, 80(5): 681-700. [DOI:10.1093/neuros/nyw108] [PMID]
11. Gruberg L (2022) Robotic-assisted percutaneous coronary intervention: Rise of the Machines. Cardiovasc Revasc Med, 43: 120-2. [DOI:10.1016/j.carrev.2022.07.020] [PMID]
12. Narang A, Guerrero M, Feldman T, et al. (2016) Computed tomography assessment for transcatheter mitral valve interventions. J Cardiovasc Surg (Torino), 57(3): 360-71.
13. Chalos V, van der Ende NAM, Lingsma HF, et al. (2020) National Institutes of Health Stroke Scale: An Alternative Primary Outcome Measure for Trials of Acute Treatment for Ischemic Stroke. Stroke, 51(1): 282-90. [DOI:10.1161/STROKEAHA.119.026791] [PMID] []
14. Lau BC, Scribani M, Lassiter T, et al. (2019) Correlation of single assessment numerical evaluation score for sport and activities of daily living to modified harris hip score and hip outcome score in patients undergoing arthroscopic hip surgery. Am J Sports Med, 47(11): 2646-50. [DOI:10.1177/0363546519863411] [PMID]
15. Diener HC, Katsarava Z, Weimar C (2008) Headache associated with ischemic cerebrovascular disease. Rev Neurol (Paris), 164(10): 819-24. [DOI:10.1016/j.neurol.2008.07.008] [PMID]
16. Lanzino G and Brown Jr. RD (2014) Introduction: management of ischemic cerebrovascular disease. Neurosurg Focus, 36(1): 1-2. [DOI:10.3171/2013.11.FOCUS13513] [PMID]
17. Alatl─▒ T, Kocaoglu S, Akay E (2022) The relationship of LDH and hematological parameters with ischemic volume and prognosis in cerebrovascular disease. J Coll Physicians Surg Pak, 32(1): 42-5. [DOI:10.29271/jcpsp.2022.01.42] [PMID]
18. Shaban S, Huasen B, Haridas A, et al. (2022) Digital subtraction angiography in cerebrovascular disease: current practice and perspectives on diagnosis, acute treatment and prognosis. Acta Neurol Belg, 122(3): 763-80. [DOI:10.1007/s13760-021-01805-z] [PMID]
19. Pantoni L (2010) Cerebral small vessel disease: from pathogenesis and clinical characteristics to therapeutic challenges. Lancet Neurol, 9(7): 689-701. [DOI:10.1016/S1474-4422(10)70104-6]
20. Xiang SF, Li JT, Yang SJ, et al. (2022) Whole-brain volume CT angiography can effectively detect early ischemic cerebrovascular diseases. Curr Med Imaging, 18(7): 731-8. [DOI:10.2174/1573405617666211206091831] [PMID]
21. Wang PQ, Wang AP, Cao ZH, et al. (2015) The study of the distribution character of cerebral arterial stenosis in patients with ischemic cerebrovascular disease by means of 64 slices CT. Eur Rev Med Pharmacol Sci, 19(12): 2287-92.
22. Lu J and Wang DM (2021) [Update in endovascular therapy of ischemic cerebrovascular disease]. Zhonghua wai ke za zhi [Chinese journal of surgery], 59(3): 192-5.
23. Turk AS, Magarick JA, Frei D, et al. (2013) CT perfusion-guided patient selection for endovascular recanalization in acute ischemic stroke: a multicenter study. J Neurointerv Surg, 5(6): 523-7. [DOI:10.1136/neurintsurg-2012-010491] [PMID] []
24. Wang PQ, Wang Y, Zhang GB, et al. (2015) Study on the carotid atherosclerotic plaque of patients suffering from ischemic cerebrovascular disease by 64 slices CT. Eur Rev Med Pharmacol Sci, 19(18): 3480-5.
25. Fu HW LG (2019) Clinical efficacy observation of DSA combined with neurointerventional thrombolysis in the treatment of ischemic cerebrovascular disease. Practical Journal of Clinical Medicine, 16(6): 178-82.
26. Burkart DJ, Day JS, Henderson K, et al. (2013) Efficacy of peripheral interventional radiologists performing endovascular stroke therapy guided by CT perfusion triage of patients. J Vasc Interv Radiol, 24(9): 1267-72. [DOI:10.1016/j.jvir.2013.05.002] [PMID]
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Quan Y, Jin Y, Liu Y, Hu S, Yin X, Jin M et al . Computed tomography guided nerve interventional therapy in ischemic cerebrovascular disease. Int J Radiat Res 2023; 21 (4) :707-711
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Volume 21, Issue 4 (10-2023) Back to browse issues page
International Journal of Radiation Research
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