Related Factors Affecting Adverse Events of Symptomatic Carotid Artery Stenosis

Yan-ping LI; Yi ZENG; Xiao-lin DONG; Huan WEI; Qing-yun LI; Ming-shun AN; Li-ping ZHAN; Jian-hui LI; Gang WU; Yang LI; Jing-hui LI

doi:10.12259/j.issn.2095-610X.S20210717

Volume 42 Issue 7

Jul. 2021

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2021 > 42(7): 104-109

Yan-ping LI, Yi ZENG, Xiao-lin DONG, Huan WEI, Qing-yun LI, Ming-shun AN, Li-ping ZHAN, Jian-hui LI, Gang WU, Yang LI, Jing-hui LI. Related Factors Affecting Adverse Events of Symptomatic Carotid Artery Stenosis[J]. Journal of Kunming Medical University, 2021, 42(7): 104-109. doi: 10.12259/j.issn.2095-610X.S20210717

Citation:

Yan-ping LI, Yi ZENG, Xiao-lin DONG, Huan WEI, Qing-yun LI, Ming-shun AN, Li-ping ZHAN, Jian-hui LI, Gang WU, Yang LI, Jing-hui LI. Related Factors Affecting Adverse Events of Symptomatic Carotid Artery Stenosis[J]. Journal of Kunming Medical University, 2021, 42(7): 104-109. doi: 10.12259/j.issn.2095-610X.S20210717

Citation:

Yan-ping LI, Yi ZENG, Xiao-lin DONG, Huan WEI, Qing-yun LI, Ming-shun AN, Li-ping ZHAN, Jian-hui LI, Gang WU, Yang LI, Jing-hui LI. Related Factors Affecting Adverse Events of Symptomatic Carotid Artery Stenosis[J]. Journal of Kunming Medical University, 2021, 42(7): 104-109. doi: 10.12259/j.issn.2095-610X.S20210717

PDF( 681 KB)

Related Factors Affecting Adverse Events of Symptomatic Carotid Artery Stenosis

doi: 10.12259/j.issn.2095-610X.S20210717

1.
Dept. of Neurology，Kunming Yan’an Hospital，Kunming Yunnan 650051
2.
Dept. of Neurosurgery，Chenggong Hospital of Kumming Yan’an Hospital，Kunming Yunnan 650500
3.
Dept. of Critical Care Medicine，Kunming Yan’an Hospital，Kunming Yunnan 650051，China

Received Date: 2021-04-18
Available Online: 2021-07-19
Publish Date: 2021-07-21

Abstract

Abstract

Objective To study the related influencing factors of adverse events of symptomatic carotid stenosis, and to explore the effect of stenting on adverse events of symptomatic carotid stenosis and the value of event-related evoked potentials in the diagnosis of adverse events. Methods 302 patients with symptomatic carotid artery stenosis in our hospital were divided into normal group and adverse event group according to the adverse events. The age, gender, hemoglobin, platelet count, blood glucose, total cholesterol, TG, treatment, event-related potentials and the degree of carotid artery stenosis were collected and analyzed statistically. Results Carotid balloon dilatation and stenting were protective factors for adverse events of symptomatic carotid stenosis. Event-related evoked potentials, degree of carotid stenosis and total cholesterol were risk factors for adverse events of symptomatic carotid stenosis. The sensitivity and specificity of event-related evoked potentials in the diagnosis of symptomatic carotid stenosis were 0.70 and 0.78, respectively. Carotid balloon dilatation and stenting are superior to medical treatment in reducing the incidence of adverse events. Conclusions Carotid balloon dilatation and stenting can reduce the occurrence of adverse events of symptomatic carotid stenosis. Event-related evoked potentials have certain guiding significance in judging the prognosis of symptomatic carotid stenosis.
- Adverse event,
- Carotid artery stent,
- Event-related evoked potential,
- Diagnostic value

FullText(HTML)

References(23)

References

[1]	中华医学会外科学分会血管外科学组. 颈动脉狭窄诊治指南[J]. 中华血管外科杂志,2017,2(2):78-84.
[2]	王陇德,刘建民,等. 《中国脑卒中防治报告2017》概要[J]. 中国脑血管病杂志,2018,15(11):611-616. doi: 10.3969/j.issn.1672-5921.2018.11.010
[3]	中华医学会神经病学分会. 中华医学会神经病学分会脑血管病学组,中国重症脑血管病管理共识[J]. 中华神经科杂志,2016,49(3):192-202. doi: 10.3760/cma.j.issn.1006-7876.2016.03.004
[4]	Jauch E C,Saver J L,Adams H P Jr,et al. Guidelines for the early management of patients with acute ischemic stroke:a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke,2013,44(3):870. doi: 10.1161/STR.0b013e318284056a
[5]	中华医学会神经病学分会. 中华医学会神经病学分会脑血管病学组,中国急性缺血性脑卒中诊治指南[J]. 中华神经科杂志,2018,59(9):666-682. doi: 10.3760/cma.j.issn.1006-7876.2018.09.004
[6]	田剑光,曹旭华,李琛,等. 症状性颈动脉狭窄合并同侧未破裂动脉瘤的手术治疗[J]. 脑与神经疾病杂志,2017,25(3):179-182.
[7]	Nomani F,Kamal A K. Citicoline in the treatment of acute ischaemie stroke:an international,randomized,muhieentre,placebo-controlled study (ICTUS trial) is the use of Citicoline is beneficial for acute ischaemic stroke?[J]. J Pak Med Assoc,2013,63(11):14J45.
[8]	车锋,马乾,王荔,等. 老年无症状性脑梗死与颈动脉粥样硬化的相关性研究[J]. 中国药物与临床,2019,19(4):592-594.
[9]	李顺钧,王慧,蒋艳艳,等. 无卒中晚发型抑郁患者危险因素及临床特征分析[J]. 脑与神经疾病杂志,2018,26(4):250-255.
[10]	Brand N,Bossema E R,Ommen M V,et al. Left or right carotid endarterectomy in patients with atherosclerotic disease:Ipsilateral effects on cognition?[J]. Brain and Cognition,2004,54(2):117-112. doi: 10.1016/j.bandc.2003.12.001
[11]	Bossema E R,Brand N,Moll F L,et al. Cognitive functions in carotidartery disease before endarterectomy[J]. Journal of Clinical and Experimental Neuropsychology,2006,28(3):357-369. doi: 10.1080/13803390590935318
[12]	Romero J R,Beiser A,Seshadri S,et al. Carotid artery atherosclerosis,MRI indices of brain ischemia,aging,and cognitive impairment:The Framingham study[J]. Stroke,2009,40(5):1590-1596. doi: 10.1161/STROKEAHA.108.535245
[13]	Sztriha L K,Nemeth D,Sefcsik T,et al. Carotid stenosis and the cognitive function[J]. J Neurol Sci,2009,283(1-2):36-40. doi: 10.1016/j.jns.2009.02.307
[14]	Kim J E. Cognitive dysfunction in 16 patients with carotid stenosis:Detailed neuropsychological findings[J]. J Clin Neurol,2007,3(1):9-17. doi: 10.3988/jcn.2007.3.1.9
[15]	Crawley F,Stygall J,Lunn S,et al. Comparison of microembolism detected by transcranial Doppler and neuropsychological sequelae of carotid surgery and percutaneous transluminal angioplasty[J]. Stroke,2000,31(6):1329-1334. doi: 10.1161/01.STR.31.6.1329
[16]	Thomas G,Brott,Jonathan L,et al. Guideline on the management of patients with extracranial carotid and vertebral artery disease[J]. Stroke,2011,42:e464-e540.
[17]	Wijdicks E F,Sheth K N,Carter B S,et a1. Recommendations for the management of cerebral and cerebellar infarction with swelling:a statement for healtheare professionals from the American Heart Association/American Stroke Association[J]. Stroke,2014,45(4):1222-1238. doi: 10.1161/01.str.0000441965.15164.d6
[18]	王晓虹,王苏平,王翠,等. 颅内外动脉粥样硬化狭窄分布与脂蛋白胆固醇及载脂蛋白的关系[J]. 脑与神经疾病杂志,2016,24(6):349-354.
[19]	孙平霞,闫中瑞,岳红梅,等. 高血压与老年性认知障碍相关性研究[J]. 济宁医学院学报,2013,36(1):43-45. doi: 10.3969/j.issn.1000-9760.2013.01.013
[20]	Campanella S. Why it is time to develop the use of cognitive event-related potentials in the treatment of psychiatric diseases[J]. Neuropsychiatr Dis Treat,2013,9:1835-1845.
[21]	刘磊,徐飞,李妍平. 首发抑郁症患者服药前后MMSE、HAMD与ERP的对比研究[J]. 癫痫与神经电生理学杂志,2015,24(1):5-9.
[22]	Vander Stelt O,Belger A. Application of electroencepholography to the study of cognitive and brain functions in schizophrenia[J]. Schizophr Bull,2007,33(4):955-970. doi: 10.1093/schbul/sbm016
[23]	Polich J. Updating P300:an integrative theory of P3a and P3b[J]. Clin Neurophysiol,2007,118(10):2128-2148. doi: 10.1016/j.clinph.2007.04.019

Relative Articles(20)

Relative Articles

[1]	Qinglan PENG, Jialu LUO, Jiayi YU, Kaixin WANG, Fang WU, Chuanzhi XU. Signal Mining and Analysis of Adverse Events of Azithromycin Based FAERS Database. Journal of Kunming Medical University, 2024, 45(8): 1-8.
[2]	Liqiang LAN, Jing LI, Qingbo REN. Value Evaluation of New Markers AFP-L3 and PIVKAⅡ in the Diagnosis of Liver Cancer. Journal of Kunming Medical University, 2023, 44(7): 136-141. doi: 10.12259/j.issn.2095-610X.S20230705
[3]	Bohu LIU, Renhua XIE, Quan DONG, Jianchang CEN, Qian CHANG. Application of Electroencephalogram, Short Latency Somatosensory Evoked Potential and Transcranial Doppler Ultrasound in the Determination of Brain Death. Journal of Kunming Medical University, 2022, 43(8): 132-137. doi: 10.12259/j.issn.2095-610X.S20220822
[4]	Huan LI, Zhong ZHONG. Differences of Adverse Events and Survival Rates of Patients with Premature Coronary Artery Disease after PCI in Different Age Groups. Journal of Kunming Medical University, 2022, 43(6): 99-104. doi: 10.12259/j.issn.2095-610X.S20220607
[5]	Xin WU, Pin-fei ZOU, Min HUANG. Diagnostic Value of Guidewire Localization of Breast Mass Based on High-frequency Ultrasound Guidance in Breast Lesions. Journal of Kunming Medical University, 2022, 43(2): 67-71. doi: 10.12259/j.issn.2095-610X.S20220216
[6]	Bin YANG, Ni-ni TIAN, Juan MA. The Guiding Effect of FFR in Interventional Treatment of Multivessel Coronary Artery Disease and the Impact on Adverse Event. Journal of Kunming Medical University, 2021, 42(9): 90-94. doi: 10.12259/j.issn.2095-610X.S20210930
[7]	Meng Chun Mei , Yuan Tao , Zhang Yi Feng , Ma Yong Hong , Ye Ke Fan , Wu Xiao Mei , Zi Rong . . Journal of Kunming Medical University, 2020, 41(07): 85-88.
[8]	Ding Su Zhen , Li Lan , Zhu He Fei , Li Shao Min , Dong Jie . . Journal of Kunming Medical University, 2019, 40(12): 34-38.
[9]	Liu Chun Ming , Liu Yun , He Li Ping , Zhang Yang Ping , Zhao Yi Bin , Zhou Yi Qing , Cao Xuan Lan , Deng Xiao Li . Clinical Characteristics of Brainstem Auditory Evoked Potential in Children with Brain Injury Syndrome. Journal of Kunming Medical University, 2019, 40(03): 78-82.
[10]	Zhang Huan , Zhou Xiao Yan , Zhang Lu Dan , Zhu Ye . . Journal of Kunming Medical University, 2019, 40(08): 57-62.
[11]	Jie Chun Lin , Huang Tao , Teng Zhao Wei , Bu Jun Hui , Li Meng Zhou , Zhang Jing. . Journal of Kunming Medical University, 2019, 40(04): 91-96.
[12]	Nian Ying Hua , Shen Ruo Xia , Chuan Zhi Rui , Qu Yin Xi , Yang Li Chun . . Journal of Kunming Medical University, 2017, 38(05): 87-90.
[13]	Bai Yi Hua . The Analysis of Risk Factors for Cardiovascular Events in Peritoneal Dialysis Patients in Yunnan. Journal of Kunming Medical University,
[14]	Jia Liang . The Diagnostic Value of Plasma Fibrinogen and D-dimer for the Progressive Stroke. Journal of Kunming Medical University,
[15]	Long Xue Feng . . Journal of Kunming Medical University,
[16]	Lei Yu . . Journal of Kunming Medical University,
[17]	Liu Jin Ru . . Journal of Kunming Medical University,
[18]	Jiao Shu Lan . . Journal of Kunming Medical University,
[19]	Peng Bo . . Journal of Kunming Medical University,
[20]	Shang Yan Xia . . Journal of Kunming Medical University,