[1]李水仙,陈星宇,阳清伟,等.Y型双支架取栓治疗急性大脑中动脉M1段分叉部闭塞脑梗死7例[J].介入放射学杂志,2022,31(02):167-171.
 LI Shuixian,CHEN Xingyu,YANG Qingwei,et al.Y-shaped dual stent thrombectomy for acute occlusive cerebral infarction at middle cerebral artery M1 bifurcation: preliminary results in 7 patients[J].journal interventional radiology,2022,31(02):167-171.
点击复制

Y型双支架取栓治疗急性大脑中动脉M1段分叉部闭塞脑梗死7例()

PDF下载中关闭

分享到:

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

卷:
31
期数:
2022年02
页码:
167-171
栏目:
临床研究
出版日期:
2022-02-25

文章信息/Info

Title:
Y-shaped dual stent thrombectomy for acute occlusive cerebral infarction at middle cerebral artery M1 bifurcation: preliminary results in 7 patients
作者:
李水仙 陈星宇 阳清伟 郑维红 陈中杰 陈良义 朱仁敬 金首跃 林 威
Author(s):
LI Shuixian CHEN Xingyu YANG Qingwei ZHENG Weihong CHEN Zhongjie CHEN Liangyi ZHU Renjing JIN Shouyue LIN Wei.
Department of Neurology, Affiliated Zhongshan Hospital of Xiamen University, Xiamen, Fujian Province 361004, China
关键词:
【关键词】 Y型双支架取栓 大脑中动脉M1段分叉部 脑梗死 血管再通
文献标志码:
A
摘要:
安全性和预后。 方法 回顾性分析2017年5月至2020年9月厦门大学附属中山医院采用Y型双支架取栓治疗的连续7例急性MCA-M1段分叉部闭塞脑梗死患者临床资料。采用改良溶栓治疗脑梗死(mTICI)血流分级评估术后血管再通情况,改良Rankin量表(mRS)评分评定术后90 d临床预后。结果 6例患者经多次单支架取栓血管均未通,遂以Y型双支架取栓均1次再通,其中5例mTICI 血流分级为3级,1例为2b级;1例直接双支架取栓1次再通,mTICI 血流分级为3级。5例患者(5/7)术后90 d mRS评分为1~3分,2例死亡。 结论 采用Y型双支架取栓治疗急性MCA-M1段分叉部闭塞脑梗死1次再通率高,可缩短取栓时间,预后较好。

参考文献/References:

[1] Alexandrov AV. Current and future recanalization strategies for acute ischemic stroke[J]. J Intern Med, 2010, 267: 209- 219.
[2] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组,中华医学会神经病学分会神经血管介入协作组. 中国急性缺血性脑卒中早期血管内介入诊疗指南2018[J]. 中华神经科杂志, 2018, 51:683- 691.
[3] Powers WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2019, 50: e344- e418.
[4] Linfante I, Walker GR, Castonguay AC, et al. Predictors of mortality in acute ischemic stroke intervention analysis of the North American Solitaire Acute Stroke registry[J]. Stroke, 2015, 46: 2305- 2308.
[5] 李子付,杨鹏飞,张永巍,等. Y形双支架取栓术治疗急性颈内动脉末端T形分叉闭塞[J]. 中华神经外科杂志, 2016, 32:706- 709.
[6] Crosa R, Spiotta AM, Negrotto M, et al. "Y- stent retriever": a new rescue technique for refractory large- vessel occlusions?[J]. J Neurosurg, 2018, 128: 1349- 1353.
[7] 吴迎春.双支架取栓术治疗1例急性大脑中动脉闭塞性脑梗死[J]. 卒中与神经疾病, 2020, 27:528- 530.
[8] Lin HJ, Wolf PA, Kelly- Hayes M, et al. Stroke severity in atrial fibrillation. The framingham study[J]. Stroke, 1996, 27: 1760- 1764.
[9] Deguchi I, Hayashi T, Fukuoka T, et al. Features of cardioem-bolic stroke with persistent and paroxysmal atrial fibrillation:a study with the Japan Stroke Registry[J]. Eur J Neurol, 2015, 22: 1215- 1219.
[10] Elsaid N, Bigliardi G, Dell’Acqua ML, et al. The relation between aortic arch branching types and the laterality of cardio- embolic stroke[J]. J Stroke Cerebrovasc Dis, 2020, 29: 104917.
[11] 李 强,朱良付,周腾飞,等. SWIM技术在大脑中动脉急性闭塞治疗中的应用[J]. 介入放射学杂志, 2019, 28:717- 720.
[12] Colby GP, Baharvahdat H, Mowla A, et al. Increased success of single- pass large vessel recanalization using a combined stentriever and aspiration technique: a single institution study[J]. World Neurosurg, 2019, 123: e747- e752.
[13] 邢鹏飞,张永巍,杨鹏飞,等. Solumbra技术在急性大脑中动脉闭塞机械取栓中的应用[J]. 中华神经科杂志, 2017, 50:184- 189.
[14] Aydin K, Barburoglu M, Oztop Cakmak O, et al. Crossing Y- solitaire thrombectomy as a rescue treatment for refractory acute occlusions of the middle cerebral artery[J]. J Neurointerv Surg, 2019, 11: 246- 250.
[15] Tu HT, Campbell BC, Christensen S, et al. Pathophysiological determinants of worse stroke outcome in atrial fibrillation[J]. Cerebrovasc Dis, 2010, 30: 389- 395.
[16] Fransen PS, Berkhemer OA, Lingsma HF, et al. Time to reperfusion and treatment effect for acute ischemic stroke: a randomized clinical trial[J]. JAMA Neurol, 2016, 73: 190- 196.
[17] Goyal M, Jadhav AP, Bonafe A, et al. Analysis of workflow and time to treatment and the effects on outcome in endovascular treatment of acute ischemic stroke: results from the SWIFT PRIME randomized controlled trial[J]. Radiology, 2016, 279: 888- 897.
[18] Saver JL, Goyal M, van der Lugt A, et al. Time to treatment with endovascular thrombectomy and outcomes from ischemic stroke: a meta- analysis[J]. JAMA, 2016, 316: 1279- 1288.
[19] Huang K, Zha M, Gao J, et al. Increased intracranial hemorrhage of mechanical thrombectomy in acute ischemic stroke patients with atrial fibrillation[J]. J Thromb Thrombolysis, 2021, 51: 536- 544.
[20] 侯延伟,郭再玉,吐尔洪?吐尔逊,等. 急性缺血性卒中患者血管内机械血栓切除术后出血性转化的预测因素[J]. 国际脑血管病杂志, 2019, 27:1- 5.
[21] Singh RK, Chafale VA, Lalla RS, et al. Acute ischemic stroke treatment using mechanical thrombectomy: a study of 137 patients[J]. Ann Indian Acad Neurol, 2017, 20: 211- 216.
[22] Klisch J, Sychra V, Strasilla C, et al. Double solitaire mechanical thrombectomy in acute stroke: effective rescue strategy for refractory artery occlusions?[J]. AJNR Am J Neuroradiol, 2015, 36: 552- 556.

备注/Memo

备注/Memo:
(收稿日期:2020- 12- 24)
(本文编辑:边 佶)
更新日期/Last Update: 2022-02-21