[1]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,(08):658-661.
 WANG Hong-sheng,LIU Sheng,ZHAO Lin-bo,et al.Solitaire AB stent thrombectomy for the treatment of acute middle cerebral artery occlusion: analysis of curative effect[J].journal interventional radiology,2015,(08):658-661.
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Solitaire AB型支架取栓治疗急性大脑中动脉栓塞疗效分析()

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

卷:
期数:
2015年08期
页码:
658-661
栏目:
神经介入
出版日期:
2015-08-25

文章信息/Info

Title:
Solitaire AB stent thrombectomy for the treatment of acute middle cerebral artery occlusion: analysis of curative effect
作者:
王洪生 刘 圣 赵林波 周春高 夏金国 祖庆泉 施海彬
Author(s):
WANG Hong-sheng LIU Sheng ZHAO Lin-bo ZHOU Chun-gao XIA Jing-guo ZU Qing-quan SHI Hai-bin
Department of Interventional Radiology, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province 210029, China
关键词:
【关键词】 脑梗死 大脑中动脉 血栓清除术 Solitaire支架
文献标志码:
A
摘要:
【摘要】 目的 探讨Solitaire AB型支架取栓术治疗急性颅内血管栓塞的安全有效性及操作技术要点。方法 2011年12月至2014年3月南京医科大学第一附属医院采用Solitaire AB型支架取栓术治疗21例大脑中动脉(MCA)栓塞患者,其中单纯MCA栓塞14例,伴发颈内动脉颅内段闭塞7例;有房颤病史患者11例。分析即时取栓效果、术后出血情况,对比患者术前和术后美国国立卫生研究院卒中量表(NIHSS)评分、改良Rankin量表(mRS)评分。结果 21例患者均顺利完成取栓手术,术中未出现死亡等严重并发症,术后即时脑梗死溶栓(TICI)血流分级为平均(2.6±0.5)级。术中留置支架10例,有房颤病史患者留置支架比例低于无房颤病史患者(P=0.02)。术前和术后1周患者平均NIHSS评分分别为18.4±6.0和6.7±9.7,差异有统计学意义(P<0.001)。术后2例患者因大面积脑梗死或梗死后出血死亡,其余患者症状均有不同程度改善,术后3个月mRS评分≤2分者17例。结论 Solitaire AB型支架取栓术治疗急性MCA血栓栓塞可获得较高的血管再通率,操作安全简便,临床预后较好。

参考文献/References:

[参 考 文 献]
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备注/Memo

备注/Memo:
(收稿日期:2015-02-13)
(本文编辑:边 佶)
更新日期/Last Update: 2015-08-23