中国卒中杂志2019，Vol.14Issue(7)：665-670,6.DOI:10.3969/j.issn.1673-5765.2019.07.007
大脑中动脉M2段急性闭塞机械取栓临床疗效评估
Efficacy of Mechanical Thrombectomy for Acute Middle Cerebral Artery M2 Segment Occlusion
李迪 1刘舒鑫1
作者信息
- 1. 116033 大连大连医科大学附属大连市中心医院神经介入科
- 折叠
摘要
Abstract
Objective To evaluate the efficacy and safety of mechanical thrombectomy for acute middle cerebral artery (MCA) M2 segment occlusion. Methods The data of patients undergoing mechanical thrombectomy for acute MCA M2 segment occlusion were retrospectively collected. The primary outcome was mRS score at 90 days, favorable outcome was defined as mRS 0-2 and unfavorable outcome was mRS>2. Baseline data, NIHSS on admission, intravenous thrombolysis or not, part of occlusion, and intracranial hemorrhage were compared between the two groups. Results A total of 12 patients (6 males and 6 females) were included. The mean age was 71.4±8.1 years old, and the median NIHSS was 18. The successful vascular recanalization [modified thrombolysis in cerebral infarction (mTICI) 2b or 3 at end of procedure] was achieved in 11 cases (91.6%), and recanalization rate at 24 hours was 91.6%. Cerebral hemorrhage occurred in 3 patients, with symptomatic intracranial hemorrhage in 1 case (8.3%). 4 cases had favorable outcome and 8 cases had unfavorable outcome at 90 days. The NIHSS score on admission in favorable outcome group was lower than that in unfavorable outcome group (14 vs 22, P=0.038), and the difference in other factors between the two groups had no statistical significance. Conclusions The efficacy and safety of mechanical thrombectomy for acute MCA M2 occlusion still remains to be uncertain. The lower NIHSS score on admission is associated with good prognosis at 90 days in patients undergoing mechanical thrombectomy for acute MCA M2 occlusion.关键词
大脑中动脉/机械取栓/有效性/安全性Key words
Middle cerebral artery/Mechanical thrombectomy/Efficacy/Safety引用本文复制引用
李迪,刘舒鑫..大脑中动脉M2段急性闭塞机械取栓临床疗效评估[J].中国卒中杂志,2019,14(7):665-670,6.
