临床神经外科杂志2019，Vol.16Issue(3)：250-253,258,5.DOI:10.3969/j.issn.1672-7770.2019.03.014
5F Navien作为远端通路导管在急性缺血性脑卒中取栓中的应用
Application of 5F Navier as distal access catheter in thrombectomy for acute ischemic stroke
摘要
Abstract
Objective To investigate the application of distal access catheter in the treatment of intracranial occlusion of large artery thrombectomy.Method The clinical data of 68 patients with acute ischemic stroke caused by intracranial arterial occlusion treated in Tianjin Xiqing Hospital from January 2015 to December 2017 were analyzed retrospectively.42 patients in the control group were treated with solitaire AB stent and 26 patients in the observation group were treated with 5F Navier catheter aspiration combined with solitaire AB stent protection technology.The opening of large vessels in the two groups were compared and analyzed.Results Of 68 patients, 18 had internal carotid artery occlusion , 34 had middle cerebral artery occlusion and 16 had basilar artery occlusion.NIHSS score on admission showed (15.07 ±2.79) in the control group and (15.31 ± 3.16) in the observation group, there was no significant difference ( t＝0.323,P＝0.748).The time of catheter placement was (11.17 ±3.62) min in the control group and(10.54 ±4.24) min in the observation group, with no significant difference ( t＝0.652,P＝0.517).The recanalization time of blood vessel was (104.26 ±14.28) min in the control group and (85.73 ±12.06) min in the observation group.The difference was statistically significant ( t ＝5.509, P ＜0.001 ).The postoperative TICI score level 2b／3 control group 24(57.1%), observation group 21(80.8%), the difference was statistically significant ( χ2 ＝4.005, P ＜0.05 ).Conclusion The application of distal access catheter combined with stent protection in thrombectomy for acute ischemic stroke can shorten the recanalization time and increase the recanalization rate.关键词
急性缺血性脑卒中/远端通路导管/介入治疗Key words
acute ischemic stroke/distal channel catheter/interventional therapy分类
医药卫生引用本文复制引用
HAN Yu-qing,XU Yang-yang,ZHANG Tao..5F Navien作为远端通路导管在急性缺血性脑卒中取栓中的应用[J].临床神经外科杂志,2019,16(3):250-253,258,5.基金项目
天津市西青医院科研基金(xqyyky201805) （xqyyky201805）
