目的探讨胱抑素C与颅内动脉支架置入术后支架内再狭窄的关系。方法根据术后6个月全脑数字减影血管造影结果将60例颅内动脉支架置入术后患者分为再狭窄组和非再狭窄组。对颅内动脉支架置入术后支架内再狭窄的危险因素进行单因素分析和多因素logistic回归分析。结果术后6个月,共16例患者发生支架内再狭窄,发生率为26.7%。两组患者性别、年龄、血管狭窄程度、糖化血红蛋白水平、吸烟史、高血压史、糖尿病史、冠心病史差异均无统计学意义(均P>0.05)。再狭窄组血脂异常患者占比高于非再狭窄组(P<0.05)。再狭窄组术后6个月胱抑素C水平较术前高,且高于非再狭窄组(均P<0.05)。多因素logistic回归分析结果显示,胱抑素C水平异常、血脂异常均是颅内动脉支架置入术后支架内再狭窄的危险因素(均P<0.05)。结论胱抑素C水平异常、血脂异常是颅内动脉支架置入术后支架内再狭窄的独立危险因素。
ObjectiveTo explore the association of cystatin C with in-stent restenosis after intracranial arterial stenting. MethodAccording to the results of cerebral digital subtraction angiography 6 months after surgery, 60 patients after intracranial arterial stenting were divided into a restenosis group or a non-restenosis group. Univariate analysis and multivariate logistic regression analysis were performed for the risk factors for in-stent restenosis after intracranial arterial stenting. ResultsSix months after surgery, a total of 16 patients developed in-stent restenosis, with an incidence of 26.7%. There was no statistically significant difference in gender, age, vascular stenosis severity, hemoglobin A1c level, smoking history, hypertension history, diabetes history, or coronary heart disease history between the two groups (all P>0.05). The proportion of patients with dyslipidemia in the restenosis group was higher than that in the non-restenosis group (P<0.05). Six months after surgery, the cystatin C level in the restenosis group increased as compared with that before surgery and was higher than that in the non-restenosis group (all P<0.05). The results of multivariate logistic regression analysis showed that an abnormal level of cystatin C and dyslipidemia were risk factors for in-stent restenosis after intracranial arterial stenting (all P<0.05). ConclusionAn abnormal level of cystatin C and dyslipidemia are independent risk factors for in-stent restenosis after intracranial arterial stenting.