[1]周 济,王 凯,刘傲飞,等.机械取栓治疗急性颈内动脉末端T形闭塞12例[J].介入放射学杂志,2019,28(06):511-517.
 ZHOU Ji,WANG Kai,LIU Aofei,et al.Mechanical thrombectomy for the treatment of acute terminal T- shaped occlusion of internal carotid artery: preliminary results in 12 patients[J].journal interventional radiology,2019,28(06):511-517.
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机械取栓治疗急性颈内动脉末端T形闭塞12例()

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

卷:
28
期数:
2019年06期
页码:
511-517
栏目:
神经介入
出版日期:
2019-06-25

文章信息/Info

Title:
Mechanical thrombectomy for the treatment of acute terminal T- shaped occlusion of internal carotid artery: preliminary results in 12 patients
作者:
周 济 王 凯 刘傲飞 李 晨 张轶群 姜卫剑
Author(s):
ZHOU Ji WANG Kai LIU Aofei LI Chen ZHANG Yiqun JIANG Weijian.
The PLA Rocket Force Characteristic Medical Center, Beijing 100088, China
关键词:
【关键词】 颈内动脉 T形闭塞 支架取栓 机械再通
文献标志码:
A
摘要:
【摘要】 目的 评价机械取栓治疗急性颈内动脉末端T形闭塞的血管再通率和临床预后。方法 回顾性分析2015年1月至2017年12月采用机械取栓治疗的12例急性颈内动脉末端T形闭塞患者临床资料。根据脑梗死溶栓(TICI)治疗后血流分级评定血管再通,TICI分级3级为完全再通,2a/2b级为部分再通,0/1级为再通失败。采用改良Rankin量表(mRS)评分评定术后3个月临床预后,0~3分为预后良好,4~5分为预后不良。结果 术后血管内机械再通成功率为83.3%(10/12)。术后5例患者TICI 3级,2例2b级,3例2a级,2例0级。术后3个月患者预后良好率为50%(6/12),预后不良率为25%(3/12),病死率为25%(3/12)。完全再通5例中围手术期无取栓相关并发症,其中3例预后良好,2例预后不良;部分再通5例中2例围手术期死亡,2例脑出血,其中3例随访预后良好;再通失败2例中1例围手术期死亡,1例随访预后不良。结论 机械取栓治疗急性颈内动脉末端T形闭塞可达到较高的血管再通率,改善临床预后,但仍有较高预后不良率和病死率。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2018-08-24)
(本文编辑:边 佶)
更新日期/Last Update: 2019-06-11