[1]刘迪龚,陈 洁,赵 宇,等.机械性血管再通治疗超时间窗急性缺血性脑卒中患者11例[J].介入放射学杂志,2016,(04):287-292.
　LIU Di- yan,CHEN Jie,ZHAO Yu,et al.Mechanical endovascular recanalization therapy for over- time- window acute ischemic stroke： initial experience in 11 cases [J].journal interventional radiology,2016,(04):287-292.
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机械性血管再通治疗超时间窗急性缺血性脑卒中患者11例 ()

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

卷:
期数:
2016年04期
页码:
287-292
栏目:
神经介入
出版日期:
2016-04-25

文章信息/Info

Title:
Mechanical endovascular recanalization therapy for over- time- window acute ischemic stroke： initial experience in 11 cases 
作者:
刘迪龚 ;  陈 洁;  赵 宇;  金 旻;  刘 奇;  杜 彬
Author(s):
LIU Di- yan;  CHEN Jie;  ZHAO Yu;  JIN Min;  LIU Qi;  DU Bin
Department of Neurointervention， Second Artillery General Hospital of Chinese People’s Liberation Army， Beijing 100088， China
关键词:
【关键词】 影像导引;  急性缺血性脑卒中;  机械性血管再通;  缺血半暗带
文献标志码:
A
摘要:
【摘要】 目的 探讨影像导引下机械性血管再通治疗超时间窗急性缺血性脑卒中患者的安全性和有效性。方法 收集2013年3月至2014年10月接受机械性血管再通治疗的急性缺血性脑卒中连续患者共91例，其中超时间窗并影像学检查显示有缺血半暗带患者11例（男9例，女2例；中位年龄59岁）。观察11例患者术前、术后30 d 美国国立卫生研究院卒中量表（NIHSS）评分变化，根据改良Rankin 量表（mRS）评分评估术后90 d患者临床结果。结果 11例患者4条大脑中动脉、3条颈内动脉、4条椎基底动脉接受机械性血管再通治疗（单纯支架成形术10例，机械取栓联合支架成形术1例），血管再通治疗成功率为90.9%（10/11），术后30 d内再闭塞率为9.1%（1/11）。术后90 d中位NIHSS评分为4分（0～12分），与术前中位评分11分（4～35分）相比均明显好转（P＜0.05）；mRS评分0～2分患者由术前0例改善为术后90 d 7例（63.6%，7/11）。结论 影像导引下机械性血管再通治疗超时间窗急性缺血性脑卒中患者是安全有效的。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：２０１5-０8-17）
（本文编辑：边 佶）
更新日期/Last Update: 2016-04-21