颈动脉内膜剥脱术后血流动力学不稳定危险因素研究及对预后的影响

doi:10.3969/j.issn.2095-378X.2026.01.002

Abstract

Abstract: Objective To explore the risk factors for hemodynamic instability （HI） after carotid endarterectomy （CEA） and its impact on prognosis. Methods Data from 363 patients who underwent CEA at Huashan Hospital, Fudan University between January 2015 and December 2020 were collected. Based on the occurrence of HI after CEA, the patients were divided into a control group （n=291） and an HI group （n=72）. Logistic regression models were used to analyze the risk factors for HI following CEA. Results Univariate analysis and multiple analysis showed that transient ischemic attack （TIA） was an independent risk factor for HI after CEA. Statistically significant differences （P<0.05） were observed between the two groups in terms of the incidence of short-term myocardial infarction, long-term all-cause mortality, cardio-cerebrovascular mortality, and blood pressure control. Conclusion TIA is an independent risk factor for HI after CEA. HI increases the incidence of myocardial infarction within 30 d after surgery, as well as cardio-cerebrovascular mortality and all-cause mortality within 5 years after surgery, making long-term blood pressure control more challenging.

Key words: Carotid endarterectomy, Hemodynamic instability, Risk factors, Prognosis

CLC Number:

R651.12

ZHOU Lin, FAN Weijian, TAN Jinyun. Risk factors for hemodynamic instability after carotid endarterectomy and its impact on prognosis[J]. Surgical Research and New Technique, 2026, 15(1): 6-9.

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Risk factors for hemodynamic instability after carotid endarterectomy and its impact on prognosis

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