中国当代医药2026，Vol.33Issue(12)：35-38,43,5.DOI:10.3969/j.issn.1674-4721.2026.12.07
支架辅助中间导管半包裹血栓技术在脑血管取栓中的临床效果
Clinical effect of stent-assisted intermediate catheter semi-wrap thrombus technique in cerebral vascular thrombectomy
摘要
Abstract
Objective To explore the clinical effect of stent-assisted intermediate catheter semi-wrap thrombus technique in cerebral vascular thrombectomy.Methods A retrospective analysis was conducted on the clinical data of 76 patients with intracranial large vessel occlusion admitted to Fengcheng People's Hospital and the Second Affiliated Hospital of Nanchang University from January 2022 to September 2024.According to different surgical methods,they were divided into group A(stent-assisted middle catheter semi-wrap thrombectomy technique,26 cases),group B(Solitaire FR/stent with intracranial support catheter for mechanical thrombectomy[SWIM],25 cases),and group C(advancing the DAC over the stent retriever[ADVANCE],25 cases).The post-treatment blood revascularization conditions[the ratio of modified cerebral ischemia treatment score(mTICI)rated as grade 2b or 3]and the time from arterial puncture to successful blood revascularization,the national institute of health stroke scale(NIHSS)score and modified Rankin scale(mRS)score at each postoperative time point,and the incidence of adverse reactions 6 months after surgery were compared among the three groups.Results The immediate postoperative cerebral angiography showed group A had higher proportion of patients with successful blood vessel reconstruction compared to group B and C,the time from arterial puncture to successful blood vessel reconstruction was shorter than that of group B and C,the immediate and 1-week NIHSS scores were lower than those of group B and C,and the differences were statistically significant(P＜0.05).The proportions of patients with good neurological function recovery at 30,90 and 180 days after surgery in group A were higher than those in group B and C,and the differences were statistically significant(P＜0.05).There was no statistically significant difference in the total incidence of adverse reactions among the three groups at 6 months after surgery(P＞0.05).Conclusion The use of the stent-assisted semi-wrap technique for middle cerebral artery catheter thrombectomy has a better therapeutic effect and is not inferior to the commonly used SWIM and ADVANCE techniques.It is worthy of clinical application and promotion.关键词
颅内大血管闭塞/支架辅助中间导管半包裹血栓技术/脑血管取栓/应用效果Key words
Intracranial large vessel occlusion/Advanc-ing the DAC over the stent retriever/Cerebral vascular thrombectomy/Application effect分类
医药卫生引用本文复制引用
熊倩倩,杨刚,赖贤良,曾正锋..支架辅助中间导管半包裹血栓技术在脑血管取栓中的临床效果[J].中国当代医药,2026,33(12):35-38,43,5.基金项目
江西省卫生健康委科技计划项目(202511205). （202511205）
