[1]吕 军,逯党辉,李 晋,等.急性缺血性卒中Solitaire AB支架取栓术后颅内出血并发症分析 [J].介入放射学杂志,2017,(05):390-393.
 LV Jun,LU Danghui,LI Jin,et al.Analysis of intracranial cerebral hemorrhage in patients after receiving rescue thrombectomy with Solitaire AB stent for acute ischemic stroke[J].journal interventional radiology,2017,(05):390-393.
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急性缺血性卒中Solitaire AB支架取栓术后颅内出血并发症分析



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

卷:
期数:
2017年05期
页码:
390-393
栏目:
神经介入
出版日期:
2017-05-25

文章信息/Info

Title:
Analysis of intracranial cerebral hemorrhage in patients after receiving rescue thrombectomy with Solitaire AB stent for acute ischemic stroke
作者:
吕 军 逯党辉 李 晋 汤 超 袁生武 刘 凯 李天晓
Author(s):
LV Jun LU Danghui LI Jin TANG Chao YUAN Shengwu LIU Kai LI Tianxiao
Department of Interventional Radiology, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 急性缺血性卒中 支架取栓术 颅内出血
文献标志码:
A
摘要:
【摘要】 目的 探讨急性缺血性卒中(AIS)患者接受Solitaire AB支架取栓术后颅内出血并发症的影响因素。方法 收集2015年6月至2016年10月采用Solitaire AB支架取栓术治疗的32例AIS 患者临床资料。分析取栓术后发生颅内出血性转化(HT)并发症患者基本资料,并与国内外相关研究进行对比分析。 结果 32例AIS 患者取栓手术均成功,术后病死率为9.4%(3/32)。3例术后发生症状性颅内HT,其中1例为前循环动脉闭塞,2例为后循环动脉闭塞,HT发生率为9.4%(3/32)。2例保守治疗,1例行经脑室钻孔外引流并植入储液囊,最终2例因HT死亡,1例经保守治疗恢复良好。HT死亡患者占所有死亡患者比例为2/3。结论 颅内HT是AIS取栓手术致命性并发症。临床实践中应严格把握取栓手术适应证,术中精细操作,规范围术期管理,以降低出血并发症发生率。

参考文献/References:

[1] Lally F, Grunwald IQ, Sanyal R, et al. Mechanical thrombectomy in acute ischaemic stroke: a review of the literature, clinical effectiveness and future use[J]. CNS Neurol Disord Drug Targets, 2013, 12: 170- 190.
[2] 李贵福, 马朝晖, 罗望池, 等. Solitaire AB型支架用于急性脑动脉闭塞取栓术31例[J]. 介入放射学杂志, 2012, 21: 98- 102.
[3] Punal- Rioboo J, Atienza G, Blanco M. Safety and efficacy of mechanical thrombectomy using stent retrievers in the endovascular treatment of acute ischaemic stroke: a systematic review[J]. Interv Neurol, 2015, 3: 149- 164.
[4] Castano C, Dorado L, Guerrero C, et al. Mechanical thrombectomy with the Solitaire AB device in large artery occlusions of the anterior circulation: a pilot study[J]. Stroke, 2010, 41: 1836- 1840.
[5] Villwock MR, Singla A, Padalino DJ, et al. Acute ischaemic stroke outcomes following mechanical thrombectomy in the elderly versus their younger counterpart: a retrospective cohort study[J]. BMJ Open, 2014, 4: e004480.
[6] Berkhemer OA, Fransen PS, Beumer D, et al. A randomized trial of intraarterial treatment for acute ischemic stroke[J]. N Engl J Med, 2015, 372: 11- 20.
[7] 苏治国, 史万超, 胡金明, 等. Solitaire AB支架取栓术治疗急性脑血管闭塞[J]. 中华神经外科杂志, 2014, 30: 613- 616.
[8] Madaelil TP, Kansagra AP, Cross DT, et al. Mechanical thrombectomy in pediatric acute ischemic stroke: clinical outcomes and literature review[J]. Interv Neuroradiol, 2016, 22: 426- 431.
[9] Jiang SW, Wang HR, Peng Y, et al. Mechanical thrombectomy by Solitaire stent for treating acute ischemic stroke: a prospective cohort study[J]. Int J Surg, 2016, 28: 2- 7.
[10] Kuntze- Soderqvist A, Kaijser M, Soderman M, et al. Mechanical thrombectomy in acute ischemic stroke: experience from 6 years of practice[J]. Neuroradiology, 2014, 56: 477- 486.
[11] 王洪生, 刘 圣, 赵林波, 等. Solitaire AB型支架取栓治疗急性大脑中动脉栓塞疗效分析[J]. 介入放射学杂志, 2015, 24: 658- 661.

相似文献/References:

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 WANG Cong,LI Longxuan..CiteSpace-based measurement visualization analysis of the most recent decade literature concerning the mechanical thrombectomy for acute ischemic stroke[J].journal interventional radiology,2023,32(05):478.

备注/Memo

备注/Memo:
(收稿日期:2016-12-19)
(本文编辑:边 佶)
更新日期/Last Update: 2017-05-15