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钳夹取栓治疗心源性脑栓塞的效果研究

匡雄伟 刘振生 孙勇 周龙江 王家祥

实用临床医药杂志2018,Vol.22Issue(9):27-30,35,5.
实用临床医药杂志2018,Vol.22Issue(9):27-30,35,5.DOI:10.7619/jcmp.201809007

钳夹取栓治疗心源性脑栓塞的效果研究

Effect of thrombectomy with clamping embolus technique on treatment of patients with cardioembolism

匡雄伟 1刘振生 1孙勇 1周龙江 1王家祥1

作者信息

  • 1. 扬州大学附属医院介入放射科,江苏扬州,225001
  • 折叠

摘要

Abstract

Objective To compare the safety and efficiency between thrombectomy with clamping embolus technique (TCET) and conventional stent retrievers thrombectomy (CSRT) for cardioembolism.Methods A retrospective analysis was performed in 46 consecutive patients treated for cardioembolism by stent retrievers thrombectomy.The patients were divided into TCET group and CSRT group according to the different methods of thrombectomy.Indexes such as recanalization rate,procedure duration,thrombectomy attempts,one-pass rate,downstream embolism,postoperative subarachnoid hemorrhage (SAH),SAH and modified Rankin scale score (mRS) were compared between two groups.Results There were no significant differences in recanalization rate,post-procedural SAH,good outcome (mRS ≤2) between two groups (P > 0.05).In TCET group,the number of thrombectomy attempts,the procedure duration,the rate of new or downstream embolism,and onepass? thrombectomy? rate were significantly better than the CSRT group (P < 0.05).Conclusion TCET is safe and feasible for cardioembolism.

关键词

心源性脑栓塞/放射学/介入/导管插入术/机械血栓清除

Key words

cardioembolism/radiology/intervention/catheterization/mechanical thrombectomy

分类

医药卫生

引用本文复制引用

匡雄伟,刘振生,孙勇,周龙江,王家祥..钳夹取栓治疗心源性脑栓塞的效果研究[J].实用临床医药杂志,2018,22(9):27-30,35,5.

实用临床医药杂志

1672-2353

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