中国脑血管病杂志2011，Vol.8Issue(2)：96-99,4.DOI:10.3969/j.issn.1672-5921.2011.02.009
急性基底动脉闭塞后行Solitaire AB型支架取栓术六例
Mechanical embolectomy with the Solitaire AB device after acute basilar artery thrombosis:a report of 6 cases
李贵福 1李铁林 1马朝晖 1罗望池 1尤劲松 1朱吉祥 1郭建文 1张佛明 1陈发军 1石尧1
作者信息
- 1. 510120,广州,广东省中医院脑病中心神经三科
- 折叠
摘要
Abstract
Objective To evaluate the efficacy and safety of arterial embolectomy with the Solitaire AB stent after acute basilar artery thrombosis.Methods Six patients performed arterial embolectomy with the Solitaire AB stent after acute basilar artery thrombosis in the Encephalopathy Center, Guangdong Province Hospital of Traditional Chinese Medicine from May to November 2010 were analyzed retrospectively.Stent angioplasty was performed for patients with residual stenosis ≥50％.Their immediate effect of thrombectomy and postoperative bleeding were analyzed.The National Institutes of Health Stroke Scale (NIHSS) scores and the prognosis were compared before and after the treatment.Results ①After 1 to 2 embolectomies, the basilar arteries of the 6 patients were revascularized, in 5 patients with residual stenosis were treated in combination with balloon angioplasty and stenting.②One patient had acute in-stent thrombosis after the release of stent.The angioplasty re-examination showed that the basilar artery was patent after the treatment.③5 patients were re-examined by MRI 3 to 7 days after procedure.There were no significant expansion of cerebral infarction, and their basilar arteries were patent.One patient had cerebral hemorrhage l day after procedure, and he died after 7 days.④The NIHSS scores were lowered 2 - 15 at dischange than at admission in 5 patients.The modified Rankin Scale (mRS) scores in 5 patients were 0( l patient), 1 (2 patients), and 2 (2 patients) at discharge.Conclusion Using Solitaire AB stent and embolectomy are relatively safe and effective in patients with acute basilar artery thrombosis, and the prognosis of patients is good.关键词
基底动脉/颅内栓塞和血栓形成/支架/Solitaire AB型引用本文复制引用
李贵福,李铁林,马朝晖,罗望池,尤劲松,朱吉祥,郭建文,张佛明,陈发军,石尧..急性基底动脉闭塞后行Solitaire AB型支架取栓术六例[J].中国脑血管病杂志,2011,8(2):96-99,4.
