[1]蒋文贤,齐 立,唐永刚,等.颅内血栓抽吸系统联合可视性取栓支架治疗颅内大动脉急性梗死5例 [J].介入放射学杂志,2017,(11):971-974.
 JIANG Wenxian,QI Li,TANG Yonggang,et al.Intracanial thrombus suction combined with visible thrombectomy stent for the treatment of acute intracranial main artery infarction: preliminary results of 5 cases[J].journal interventional radiology,2017,(11):971-974.
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颅内血栓抽吸系统联合可视性取栓支架治疗颅内大动脉急性梗死5例 ()

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

卷:
期数:
2017年11期
页码:
971-974
栏目:
神经介入
出版日期:
2017-11-25

文章信息/Info

Title:
Intracanial thrombus suction combined with visible thrombectomy stent for the treatment of acute intracranial main artery infarction: preliminary results of 5 cases
作者:
蒋文贤 齐 立 唐永刚 聂容荣 何 伟 潘鸿华 李荣宗
Author(s):
JIANG Wenxian QI Li TANG Yonggang NIE Rongrong HE Wei PAN Honghua LI Rongzong
Department of Neurological Rehabilitation, No.181 Hospital of Chinese PLA, Guilin, Guangxi Zhuang Autonomous Region 541002, China
关键词:
【关键词】 急性缺血性脑卒中 颅内大动脉梗死 取栓装置
文献标志码:
A
摘要:
【摘要】 目的 探讨Penumbra抽吸系统联合Trevo取栓器治疗颅内大动脉急性闭塞的临床效果。 方法 收集2016年11月至12月采用ACETM取栓器联合Trevo可视性取栓支架机械取栓治疗的5例颅内大动脉急性梗死患者临床资料。其中前循环闭塞2例,后循环闭塞3例;平均(60.4±11.6)岁。术后观察患者取栓时间、闭塞血管再通和神经功能恢复情况。结果 5例患者穿刺-血管再通时间分别为29 min、32 min、35 min、33 min、30 min,平均(31.8±2.4) min;术中脑梗死溶栓(TICI)治疗后血流分级均达到3级;NIHSS评分由术前(11.0±7.4)分明显改善至术后24 h(4.2±1.1)分、7 d(1.8±1.3)分、30 d(0.9±0.6)分(P<0.05);改良Rankin 量表(mRS)评分均为0~2分,且未发生颅内出血转化。结论 ACETM取栓器联合Trevo取栓支架机械取栓治疗颅内大动脉急性梗死,在取栓次数少、取栓时间短情况下,取得了最佳血管再通效果,临床预后良好。

参考文献/References:

[1] 中华预防医学会卒中预防与控制专业委员会介入学组. 急性缺血性脑卒中血管内治疗中国专家共识[J]. 中国脑血管疾病杂志, 2014, 11: 556- 560.
[2] National Institute of Neurological Disorders and Stroke rt- PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke[J]. N Engl Med, 1995, 333: 1581- 1587.
[3] Hacke W, Kaste M, Fieschi C, et al. Intravenous thrombolysis with recombiant tissue plasminogen activator for acute hemispheric stroke: the European Cooperative Acute Stroke Study (ECASS)[J]. JAMA. 1995, 274: 1017- 1025.
[4] IST- 3 collaborative group, Sandercock P, Wardlaw JM, et al. The benefits and harms of intravenous thrombolysis with recombinant tissue plasminogen activator within 6 h of acute ischaemic stroke (the third international stroke trial [IST- 3]): a randomised controlled trial[J]. Lancet, 2012, 379: 2352- 2363.
[5] Asadi H, Dowling R, Yan B, et al. Advance in endovascular treatment of acute ischemic stroke[J]. Intern Med J, 2015, 45: 798- 805.
[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] Campbell BC, Mitchell PJ, Kleinig TJ, et al. Endovascular therapy for ischemic stroke with perfusion- imaging selection[J]. N Engl J Med, 2015, 372: 1009- 1018.
[8] Goyal M, Demchuk AM, Menon BK, et al. Randomized asseeement of rapid endovascular treatment of ischemic stroke[J]. N Engl J Med, 2015, 372: 1019- 1030.
[9] Broderick JP, Palesch YY, Demchuk AM, et al. Endovascular therapy after intravenous t- PA versus t- PA alone for stroke[J]. N Engl J Med, 2013, 368: 893- 903.
[10] Pierot L, SoizeS, Benaissa A, et al. Techniques for endovascular treatment of acute ischemic stroke: from monitra arterial fibrinolytics to stent- retrievers[J]. Stroke, 2015, 46: 909- 914.
[11] 中华医学会神经病学分会, 中华医学会神经病学分会神经血管介入协作组,急性缺血性脑卒中介入诊疗指南撰写组. 中国急性缺血性脑卒中早期血管内介入诊疗指南[J]. 中华神经科杂志, 2015, 48: 356- 361.
[12] Powers WJ, Derdeyn CP, Biller J, et al. 2015 American Heart Association/American Stroke Association focused update of the 2013 guidelines for the early management of patients with acute ischemic stroke regarding endovascular treatment: a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2015, 46: 3020- 3035.
[13] Turk AS, Frei D, Fiorella D, et al. ADAPT FAST study: a direct aspiration first pass technique for acute stroke thrombectomy[J]. J Neurointerv Surg, 2014, 6: 260- 264.
[14] Kass- Hout T, Kass- Hout O, Sun CH, et al. Clinical, angiographic and radiographic outcome differences among mechanical thrombectomy devices: initial experience of a large- volume center[J]. J Neurointerv Surg, 2015, 7: 176- 181.
[15] 齐 立, 李慎茂, 唐永刚, 等. 动脉溶栓与机械取栓碎栓联合动脉溶栓的对比分析[J]. 介入放射学杂志, 2012, 21: 180- 184.

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备注/Memo

备注/Memo:
(收稿日期:2017-02-28)
(本文编辑:边 佶)
更新日期/Last Update: 2017-11-16