中国卒中杂志2017，Vol.12Issue(7)：584-587,4.DOI:10.3969/j.issn.1673-5765.2017.07.004
急性大脑中动脉闭塞机械取栓治疗的观察性研究
Observational Study on Thrombectomy in Acute Middle Cerebral Artery Occlusion
韩志安 1丁明祥 1刘天助 1谢兵 1王泽群 1唐晓琴1
作者信息
- 1. 中山市人民医院脑血管介入科 中山 528400
- 折叠
摘要
Abstract
Objective To explore optimization of treatment method of intra-arterial thrombectomy and its clinical effects in acute middle cerebral artery occlusion. Methods Patients with acute middle cerebral artery (MCA) occlusion who underwent thrombectomy by using Solitaire stent were taken as study subjects. The involved lesions characteristics, endovascular treatment methods, recanalization status and post-surgery improvement of neurological function were analyzed retrospectively. Results A total of 77 patients with acute middle cerebral artery (MCA) occlusion who underwent thrombectomy by using Solitaire stent in Dept. of Cerebral Vascular Intervention, Zhongshan People's Hospital during Jan. 2014 and August, 2016 were enrolled into study consecutively. The occluded arteries included M1 segment of MCA (M1-MCA, Right n=27, Left n=25), inferior division of MCA (MCA-ID, n=10), and superior division of MCA (MCA-SD, n=15). Residual luminal stenosis after thrombectomy was found in 26 cases, among which stent implantation (n=17), balloon dilatation (n=6) or regional thrombolysis (n=3) were carried out ultimately. Successful recanalization was achieved in all patients (n=77), in which 48 patients showed good clinical outcome (62.34% ) at 90 d after surgery with modified Rankin Scale (mRS) score <2. Postoperative intracranial hemorrhage occurred in 6 patients (7.79%), and decompressive craniectomy were carried out in 5 patients (6.49%) with acute cerebral swelling . Conclusion This study suggests that thrombectomy by using Solitaire stent can achieve satisfactory recanalization rate in patients with MCA occlusion and good prognosis at month 3.关键词
卒中/大脑中动脉/支架/介入治疗Key words
Stroke/Middle cerebral artery/Stent/Interventional therapy引用本文复制引用
韩志安,丁明祥,刘天助,谢兵,王泽群,唐晓琴..急性大脑中动脉闭塞机械取栓治疗的观察性研究[J].中国卒中杂志,2017,12(7):584-587,4.
