摘要
Abstract
Objective To study the efficacy of balloon guided catheter(BGC)for proximal blood control combined with distal pathway catheter(DAC)distal suction technique in the treatment of acute ischemic stroke(AIS)in the anterior circulation.Methods A total of 142 patients with anterior circulation AIS were divided into the study group(70 cases)and routine group(72 cases).The routine group adopted the Trevo stent to conduct the endovascular mechanical thrombectomy(EMT)operation,the study group adopted the same method as the routine group to conduct the Trevo stent implantation and release,moreover adopted the BGC proximal blood control combined with DAC distal suction technique.The imaging outcomes,surgery re-lated indicators and clinical prognosis were compared between the two groups.Results The complete reperfu-sion rate of the study group was significantly higher than that of the routine group(71.4％vs.36.1％,P＜0.001),the proportion of the patients with non-thrombotic distal migration was significantly higher than that of the routine group(82.9％vs.58.3％,P=0.001),the success rate of one-time thrombectomy was signifi-cantly higher than that of the routine group(60.0％vs.30.6％,P＜0.001),the incidence rate of surgery re-lated intracranial hemorrhage was significantly lower than that of the routine group(11.4％vs.41.7％,P＜0.001),the NIHSS score at postoperative 24 h and on postoperative 14 d was significantly lower than that of the routine group(P＜0.001,and the rate of postoperative good outcomes was significantly higher than that of the routine group(P＜0.05).Conclusion On the basis of routine stent EMT operation,the addition of BGC proximal blood flow control combined with DAC distal suction technology for the treatment of anterior circulation AIS is easier to achieve the one-time thrombus removal success than the simple routine stent EMT operation,reduces the distal thrombus migration and improves the complete reperfusion rate,and is more con-ducive to improve the patient's neurological symptoms and achieve more satisfactory functional outcomes in the short term after surgery.关键词
急性缺血性脑卒中/前循环/球囊导引导管/远端通路导管/近端血流控制/远端抽吸Key words
acute ischemic stroke/anterior circulation/balloon guided catheter/distal pathway cath-eter/proximal blood flow control/distal end suction分类
医药卫生
