中国医药科学2024，Vol.14Issue(10)：149-152,4.DOI:10.20116/j.issn2095-0616.2024.10.36
导管抽吸取栓术与支架取栓术治疗急性后循环大血管闭塞性脑梗死的疗效比较
Comparison of efficacies between catheter aspiration thrombectomy and stent thrombectomy in the treatment of acute cerebral infarction with posterior circulation large vessel occlusion
摘要
Abstract
Objective To evaluate the effectiveness and safety of catheter aspiration thrombectomy and stent thrombectomy in the treatment of cerebral infarction with posterior circulation large vessel occlusion.Methods The patients with acute cerebral infarction with posterior circulation large vessel occlusion who received endovascular treatment in Department of Neurology of Liuzhou People's Hospital from January 2020 to May 2022 were retrospectively analyzed.The clinical data,therapeutic efficacy,postoperative complications and clinical prognosis were analyzed.The modified treatment in cerebral infarction(mTICI),National Institute of Health stroke scale(NIHSS)and modified Rankin scale(mRS)were used to evaluate the success of surgical recanalization and clinical prognosis,respectively.Results A total of 75 patients were included in the analysis,of which 46 patients preferred to be treated with catheter aspiration thrombectomy and 29 patients preferred to be treated with stent thrombectomy.The complete recanalization success(mTICI grade 3)in the catheter aspiration thrombectomy group was 73.91%,slightly higher than 62.07%in the stent thrombectomy group,but without statistically significant differences(P>0.05).There were no statistically significant differences in successful recanalization(mTICI grade 2b/3),NIHSS score at 7 days after operation,good functional prognosis at 90 days after operation(mRS≤2 points)and in-hospital mortality between the catheter aspiration thrombectomy group and the stent thrombectomy group(P>0.05).The incidences of cerebral hemorrhage,vascular dissection and thrombus escape in the catheter aspiration thrombectomy group were slightly lower than those in the stent thrombectomy group,but without statistically significant differences(P>0.05).Conclusion The clinical efficacy and safety of catheter aspiration thrombectomy and stent thrombectomy are similar in the treatment of acute cerebral infarction with posterior circulation large vessel occlusion,which are both conducive to dredging occluded blood vessels and improving the prognosis and survival outcome of patients.关键词
导管抽吸取栓术/支架取栓术/急性后循环闭塞/脑梗死Key words
Catheter aspiration thrombectomy/Stent thrombectomy/Acute posterior circulation occlusion/Cerebral infarction分类
医药卫生引用本文复制引用
韦韬,高文,覃彬..导管抽吸取栓术与支架取栓术治疗急性后循环大血管闭塞性脑梗死的疗效比较[J].中国医药科学,2024,14(10):149-152,4.基金项目
广西卫生健康委员会科研课题(Z20200225) （Z20200225）
广西壮族自治区柳州市科技局科技重大专项课题(2018AF10502). （2018AF10502）
