中国卒中杂志2018，Vol.13Issue(4)：322-326,5.DOI:10.3969/j.issn.1673-5765.2018.04.006
支架样取栓装置对急性缺血性卒中血管再通治疗临床效果观察
Clinical Effect Observations of Stent-like Retrievers in Ischemic Stroke Patients with Mechanical Thrombectomy
摘要
Abstract
Objective To investigate the clinical effect of stent-like retrievers for mechanical thrombectomy in ischemic stroke patients due to large vessel occlusion. Methods Patients treated with stent-like retrievers for mechanical thrombectomy caused by proximal arterial occlusion in anterior cerebral circulation were enrolled consecutively. Their clinical features, imaging data, treatments and the results of 90-day follow up were analyzed. The major efficacy measure was assessed with modified Rankin Scale (mRS) at 90 days after onset. The safety measures were assessed with symptomatic intracranial hemorrhage (sICH) and mortality at 90 days. Results Of the 30 enrolled patients, 29 were treated with Solitaire and 1 with Trevo. The mean age was (65.97±11.67) years old, and median baseline National Institutes of Health Stroke Scale (NIHSS) score was 13.50 (9.75, 18.00). Nine of them had internal carotid artery occlusion, 20 had the M1 segment of the middle cerebral artery occlusion and 1 had the A1 segment of the anterior cerebral artery occlusion. The proportion of favorable functional outcome (mRS 0-2 at 90 days) was 56.7% (17/30). sICH rate was 13.3% (4/30), and the mortality at 90 days was 20% (6/30). Conclusion The effect of stent-like retrievers for mechanical thrombectomy in ischemic stroke patients due to anterior cerebral circulation large vessel occlusion is relatively good. Its efficacy and safety can be reflected in the real world, and it is an effective method for the treatment of acute intracranial artery occlusion.关键词
缺血性卒中/血管内治疗/支架样取栓装置/机械取栓Key words
Ischemic stroke/Endovasculatreatment/Stent-likretrievers/Mechanical thrombectomy引用本文复制引用
张帅,王润榕,侯红玲,任彬彬,刘振生,王苇,陈斌,张新江..支架样取栓装置对急性缺血性卒中血管再通治疗临床效果观察[J].中国卒中杂志,2018,13(4):322-326,5.基金项目
扬州市科技局社会发展项目(YZ2015048) （YZ2015048）
