[1]孙刘严,郭新宾,魏 森,等.支架取栓联合局部溶栓治疗重型颅内静脉窦血栓形成临床研究[J].介入放射学杂志,2021,30(07):643-646.
 SUN Liuyan,GUO Xinbin,WEI Sen,et al.Stent-retrievers combined with local thrombolysis for the treatment of severe cerebral venous sinus thrombosis: a clinical study[J].journal interventional radiology,2021,30(07):643-646.
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支架取栓联合局部溶栓治疗重型颅内静脉窦血栓形成临床研究()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年07
页码:
643-646
栏目:
神经介入
出版日期:
2021-07-29

文章信息/Info

Title:
Stent-retrievers combined with local thrombolysis for the treatment of severe cerebral venous sinus thrombosis: a clinical study
作者:
孙刘严 郭新宾 魏 森 杨 震 王晶晶 管 生
Author(s):
SUN Liuyan GUO Xinbin WEI Sen YANG Zhen WANG Jingjing GUAN Sheng.
Department of Neurological Intervention, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 颅内静脉窦血栓形成 支架 机械取栓 溶栓
文献标志码:
A
摘要:
【摘要】 目的 探讨支架取栓联合局部静脉窦溶栓治疗重型颅内静脉窦血栓形成(CVST)患者的安全性和有效性。 方法 回顾性分析郑州大学第一附属医院2015年10月至2019年8月经磁共振静脉造影(MRV)或DSA确诊的26例重型CVST患者临床资料。所有患者均接受支架取栓联合术中或术后局部静脉窦溶栓治疗。MRV或DSA评估联合治疗后静脉窦再通情况。改良Rankin 量表(mRS)评分评估患者入院、出院和随访结果。 结果 26例患者中男女各13例,年龄13~66岁,平均(30.0±13.0)岁。所有患者支架取栓联合局部静脉窦溶栓治疗均获成功。7例(26.9%)完全再通,19例(73.1%)部分再通。术后出现脑梗死1例,新发脑出血8例(包括2例大的出血性脑梗死)。随访1~6个月,患者入院与出院mRS评分差异有统计学意义(P<0.01),预后良好率为96.2%(25/26),无复发。 结论 支架取栓联合局部静脉窦溶栓治疗重型CVST安全可行,对抗凝治疗无效的重症患者是一种可能的补救方法。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2020-09-11)
(本文编辑:边 佶)
更新日期/Last Update: 2021-07-28