ࡱ > # % ! " q` R bjbjqPqP 2Z : : ) 8 8 8 8 8 8 8 L [ [ [ [ $ ] L $ ` ` ` ` ` ` ` ` ދ $ h o l 8 Pc ` ` Pc Pc 8 8 ` ` u u u Pc 8 ` 8 ` ދ u Pc ދ u u : z , 8 8 F{ ` _ s5r [ Zr z : 0 z R ې @u ې F{ F{ ې 8 Z{ ` L /a 6 u ea , a ` ` ` u ` ` ` Pc Pc Pc Pc L L L d; ? D L L L ? L L L 8 8 8 8 8 8 RS-N`_[{/gTQS%`'`@{aYRg _NS _ [ Xd] vv ce_` gRS-Nv`L_[{/gC C TQS@{uvyrpNSvsQV }Rg0 el [8 9 2 O[eNC C /gve_` gRS-Nv`ۏLV~'`RgǏ[`v N,rQ0_@{uSpeϑ0R^0lu`QNSQsQSRS-Nv`QTvsQV }ۏLRg0 ~g /g-NT/gT2 4 h Q1 0 1 O`QsRS-N`S1 1 . 3 2 % 3 3 OQswf:@S\OT I A 6 4 OSuN%`'`h{k( C I ) 4 Ov^SQ@( C H ) 0L o g i s t i c VR_Rg>f:y@{`C C /gTQ!kQs%`'`@{aYvqSiV }Sb7u'`0nRؚ@u0` gYhT@{u0_@{uSvpeϑNSluel gsQ0~ @{`C C /gTQ!kQs%`'`RS-NvqSiV }Sb7u'`0nRؚ@u0` gYhT@{u0_@{uSvpeϑNSluel0 [ sQ.͋] _[{/g@{aYv^Su RS-N C e r e b r a l v a s c u l a r a c c i d e n t s a f t e r c a r d i a c c a t h e t e r i z a t i o n i n s t r o k e p a t i e n t s Z H A N G H u a , Z H A N G Z h u o . Department of Neurology, An Zhen Hospital of Capital University of Medical Science, Beijing 100029, China [Abstract] Objective To investigate the characteristics and risk factors of cerebral vascular accidents(CVA) after cardiac catheterization (CC) in stroke patients. Methods The clinical data of 892 stroke patients received CC since Jan.2002 to Oct.2006, were analyzed retrospectively. Results During and within 24hours after the operations,101 patients suffered from CVA (11.32%). 33 patients suffered from transient ischemic attack (TIA),64 patients suffered from cerebral infarction(CI) and 4patients suffered from cerebral hemorrhage(CH). Logistic regression models found that risk factors of CVA were associated with male gender(OR 0.308, 95%CI 0.141-0.674), alcohol(OR 0.319, 95%CI 0.128-0.797) , hyperlipidemia (OR 3.676, 95%CI 1.944-6.950), peripheral vascular diseases((OR 7.419, 95%CI 2.477-22.219),numbers of cardiac vascular diseases(OR 1.809, 95%CI 1.284-2.548). Patients under PTCA and stenting were much easier suffered from CVA compared to the other patients. Conclusions The risk factors after CC maybe male gender, alcohol, hyperlipidemia, peripheral vascular diseases, numbers of cardiac vascular diseases and PTCA and stenting. [Key words] Cardiac catheterization; Cerebral vascular accidents; Complication; Stroke _[{/gc a r d i a c c a t h e t e r i z a t i o n , C C vMR]~b:N Ny8^v_uʋeTluel0vQ-N_@{ q_c a r d i a c a n g i o g r a p h y C A :Nʋe_@{uvёch~vTQ@{bW/gp e r c u t a n e o u s t r a n s l u m i n a l c o r o n a r y a n g i o p l a s t y P T C A /f[_@{;^X'`uuv_wc0 gHe_c$O\vluel0@wۏLdkyʋeTluv`NpeXRvQ/g-NTVKb/ggv^y~|~v^Su_NnXR, vQ-N%`'`@{aYc e r e b r a l v a s c u l a r a c c i d e n t s , C V A g:N8^}6qSus NؚFOvQ{kSksؚ0vMRVQ\e~_[{/gNT^y~|~v^SuSuvvsQbS_Nl ge_` gRS-Nv`ۏL_NeQlu/g-NTVKb/ggQSRS-NvvsQbS0:NdkbNV~Nbb 8 9 2 OۏL_[{/gvRS-N`uODe[vQ/g-NT/gTQs^y~|~v^Su`QۏLN~Rg0 [aNel N0[a @b g[aeg2 0 0 2 t^1 g 2 0 0 6 t^1 0 g,gbޏ~eQbL_[{/gۏLʋeTluve_ gRS-Nv`qQ8 9 2 OGW:NOObuODeV~0vQ-N/g-NT/gT2 4 h QSu@{uv`1 0 1 Ot^3 9 ~ 7 9 \0 N0el 6eƖ`v N,`QSbt^0'`+R0SO͑cpeB M I 0ؚ@S0|?\u08Tp0nR0ؚ@uؚ[^ˆ}vƀVMNO0Q_u0ba'`;^X'`l0_?b~NSYhT@{uu@b g[aGW:NL~R z:R_v`\~ahR z:R_Kb/gv`dY0U_`eQbv;NʋeSb3z['`_~u0 N3z['`_~u0%`'`_h{k0QrR -deh/gTNSu_g 0_NeQ q_T@{uSpeϑ( NUS/e@{rzb;^Xz^'YN7 5 % N N:NhQ) 0uSR^`QSQrR 0];Nr^0]MRM/e0Ve/e0;NR tuuNSN\tuu 0lu`QUS~C A + oirlu0P T C A 0P T C A + /eg0_YyQrR -deh/gNSC A + nhlu 0^y~|~v^Suh{k0T I A NSQ@ NSRS-NSMO0eSuvh{kTQ@vʋe:N~^y~QyOʋ;S^Oʋ0gSOv^GW g4YC T bM R I [:NeSuvpv`wfO@ NT I A vʋe:N~^y~QyOʋ;S^Oʋ0gSOSq_Pf[hg&{ThQV,{V!k@{uf[/gO6R[vʋehQvQYO~OObuORgcdRS-N0 N0~f[RYt peDe(uX 2 hϑDeǑ(urz7h,gt h0[NUSV }e]Rg g~f[aINvSϑۏLL o g i s t i c VR_Rg0@b gpencYtǑ(uS P S S 1 1 . 0 ~oN[b0 ~g `v N,`Q /gT gv^SuTl gv^Suv$N~`(Wt^0ր0ؚ@SuS0|?\uuS0nR0ba'`;^X'`l0_?b~NSؚ[^ˆ}v4ls^MNOeb]_l g~f[aIN(W'`+R( P = 0 . 0 0 0 ) 08Tp( P = 0 . 0 2 5 ) 0ؚ@u( P = 0 . 0 0 0 ) 0e_ gQ_uS( P = 0 . 0 0 0 ) NSYhT@{u( P = 0 . 0 0 0 ) eb]_ g~f[aIN( h1 ) 0 h1 `4N^yr_ 4N^yr_ ;`uOn = 8 9 2 /gTl gv^Sun = 7 9 1 gv^Su n = 1 0 1 P