[1]韩玉庆,许阳阳,张涛,等.5F Navien作为远端通路导管在急性缺血性脑卒中取栓中的应用[J].临床神经外科杂志,2019,16(3):250-258.[doi:10.3969/j.issn.1672-7770.2019.03.014]
 HAN Yu-qing,XU Yang-yang,ZHANG Tao,et al.Application of 5F Navier as distal access catheter in thrombectomy for acute ischemic stroke[J].Journal of Clinical Neurosurgery,2019,16(3):250-258.[doi:10.3969/j.issn.1672-7770.2019.03.014]
点击复制

5F Navien作为远端通路导管在急性缺血性脑卒中取栓中的应用()
分享到:

《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
16
期数:
2019年第3期
页码:
250-258
栏目:
论著
出版日期:
2019-06-15

文章信息/Info

Title:
Application of 5F Navier as distal access catheter in thrombectomy for acute ischemic stroke
作者:
韩玉庆许阳阳张涛董力庆赵理乐
300380 天津,天津市西青医院神经外科
Author(s):
HAN Yu-qing XU Yang-yangZHANG Tao et al.
Department of Neurosurgery, Tianjin Xiqing Hospital, Tianjin 300380, China
关键词:
急性缺血性脑卒中远端通路导管介入治疗
Keywords:
acute ischemic stroke distal channel catheter interventional therapy
分类号:
R743.33
DOI:
10.3969/j.issn.1672-7770.2019.03.014
文献标志码:
A
摘要:
【摘要】目的 探讨应用远端通路导管在颅内闭塞大血管动脉取栓治疗中的效果。方法回顾性分析天津市西青医院2015年1月—2017年12月收治68例颅内大动脉闭塞导致急性缺血性脑卒中采用静脉溶栓桥接动脉取栓治疗患者的临床资料。对照组42例患者应用单纯Solitaire AB支架拉栓,观察组26例患者应用5F Navien导管抽吸配合Solitaire AB支架保护技术;对比分析两组患者大血管开通情况。结果68例患者中,颈内动脉颅内段动脉闭塞18例,大脑中脉闭塞34例,基底动脉闭塞16例。入院美国国立卫生研究院卒中量表(National Institutes of Health stroke scale,NIHSS)评分:对照组为(15.07±2.79)分,观察组为(15.31±3.16)分,差异无统计学意义(t=0.323,P=0.748)。导引导管到位时间:对照组为(11.17±3.62)min,观察组为(10.54±4.24)min,差异无统计学意义(t=0.652,P=0.517)。血管获得再通时间:对照组为(104.26±14.28)min,观察组为(85.73±12.06)min,差异具有统计学意义(t=5.509,P<0.001)。术后TICI评分2b/3级者,对照组为24例(57.1%),观察组为21例(80.8%),差异具有统计学意义(χ2=4.005,P<0.05)。结论 在急性缺血性脑卒中取栓治疗中,应用远端通路导管配合支架保护技术可缩短血管再通时间,增加血管再通率。
Abstract:
Abstract: ObjectiveTo investigate the application of distal access catheter in the treatment of intracranial occlusion of large artery thrombectomy. MethodThe clinical data of 68 patients with acute ischemic stroke caused by intracranial arterial occlusion treated in Tianjin Xiqing Hospital from January 2015 to December 2017 were analyzed retrospectively. 42 patients in the control group were treated with solitaire AB stent and 26 patients in the observation group were treated with 5F Navier catheter aspiration combined with solitaire AB stent protection technology. The opening of large vessels in the two groups were compared and analyzed. ResultsOf 68 patients, 18 had internal carotid artery occlusion, 34 had middle cerebral artery occlusion and 16 had basilar artery occlusion. NIHSS score on admission showed (15.07±2.79) in the control group and(15.31±3.16) in the observation group, there was no significant difference(t=0.323,P=0.748). The time of catheter placement was(11.17 ± 3.62) min in the control group and(10.54 ± 4.24) min in the observation group, with no significant difference(t=0.652,P=0.517). The recanalization time of blood vessel was(104.26±14.28) min in the control group and(85.73±12.06) min in the observation group. The difference was statistically significant (t=5.509,P<0.001). The postoperative TICI score level 2b/3 control group 24(57.1%), observation group 21(80.8%), the difference was statistically significant(χ2=4.005,P<0.05). ConclusionThe application of distal access catheter combined with stent protection in thrombectomy for acute ischemic stroke can shorten the recanalization time and increase the recanalization rate.

相似文献/References:

[1]李继坤,刘祺,田卫东,等.急性缺血性脑卒中血管内治疗的临床应用[J].临床神经外科杂志,2018,15(04):275.
 LI Ji-kun,LIU Qi,TIAN Wei-dong,et al.Clinical application of endovascular treatment for acute ischemic stroke[J].Journal of Clinical Neurosurgery,2018,15(3):275.
[2]王昊,束汉生,闵敬亮,等.年龄及其他临床因素对急性脑梗死患者支架取栓术预后的影响[J].临床神经外科杂志,2020,17(02):212.[doi:DOI:10.3969/j.issn.1672-7770.2020.02.020]
 WANG Hao,SHU Han-sheng,MIN Jing-liang,et al.A comparative study of influence of age on prognosis of patients with cerebral infarction undergoing mechanical thrombectomy[J].Journal of Clinical Neurosurgery,2020,17(3):212.[doi:DOI:10.3969/j.issn.1672-7770.2020.02.020]

更新日期/Last Update: 2019-06-15