中国卒中杂志2017，Vol.12Issue(6)：501-505,5.DOI:10.3969/j.issn.1673-5765.2017.06.007
机械取栓和支架植入治疗动脉粥样硬化性颅内大血管闭塞疗效对比研究
Comparative Study on Efficacy of Stent Retrieval and Stent Placement in the Treatment of Large Artery Occlusion due to Intracranial Atherosclerotic Disease
周腾飞 1朱良付 1李天晓 1王子亮 1薛绛宇 1白卫星1
作者信息
- 1. 450003 郑州郑州大学人民医院(河南省人民医院)介入科
- 折叠
摘要
Abstract
Objective To evaluate the efficacy of stent retrieval and stent placement in the treatment of large artery occlusion due to intracranial atherosclerotic disease (IAD). Methods Patients with acute large artery occlusion due to IAD underwent endovascular treatment in our center were performed retrospective analysis and divided into two groups. In the stent retrieval group, patients received stent retrieval as first method with or without other rescue treatment, and in the stent placement group, patients received stent placement as first method without other treatment. The recanalization rate, clinical outcome and procedure details between two groups were compared. Results A total of 64 patients were enrolled into study. Among which, 48 cases with large intracranial artery occlusion due to IAD were enrolled in the stent retrieval group and 16 cases were enrolled in the stent placement group. The initial recanalization rate was significantly lower (18.75%) with stent retriever as first method in the stent retrieval group, and 37 patients received one (or more) adjunctive treatment. The final rate of recanalization was comparable among two groups (P=0.566). The procedure time was significantly shorter in the stent placement group than in the stent retrieval group (P<0.01) neurological improvement in 48 hours (P=0.885) and sICH preprocedure (P=0.817) werecomparable. The mortality (P=0.874) and good outcome in the 90 days (P=0.884) were comparable between two groups. Conclusion Among patients with acute large artery occlusion due to IAD, endovascular treatment with stent retriever cannot achieve satisfactory effect and usually requires other corrective treatment measures. Direct stent placement is also a kind of effective therapeutic method.关键词
卒中/动脉粥样硬化/可回收支架/支架植入Key words
Ischemic stroke/Intracranial atherosclerotic disease/Stent retriever/Stent placement引用本文复制引用
周腾飞,朱良付,李天晓,王子亮,薛绛宇,白卫星..机械取栓和支架植入治疗动脉粥样硬化性颅内大血管闭塞疗效对比研究[J].中国卒中杂志,2017,12(6):501-505,5.
