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| Solitaire AB支架取栓治疗急性脑梗死26例疗效分析 |
| Effect analysis of thrombectomy with Solitaire AB stent in treating acute cerebral infarction in 26 cases |
| 投稿时间：2016-05-28 |
| DOI：10.3969/j.issn.1000-0399.2016.09.005 |
| 中文关键词: 急性脑梗死 血管闭塞 支架取栓 |
| 英文关键词: Acute cerebral infarction Cerebrovascular occlusion Stent thrombectomy |
| 基金项目:南京军区科技创新课题（项目编号：11MA045） |
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| 中文摘要: |
| 目的 探讨Solitaire AB支架取栓治疗急性脑梗死的临床疗效。方法 选取解放军第123医院2015年1月至2016年1月采用Solitaire AB支架进行血管内取栓的急性脑梗死患者26例，记录围手术期相关时间节点、评估术前侧支代偿及术后前向血流情况，并评价患者神经功能变化情况。结果 26例患者中，1例后循环取栓术中栓子脱落导致一侧小脑上动脉栓塞外，其余25例患者均取栓成功（TICI≥2b）；术后3例出现严重并发症，余患者神经功能明显康复。术前、术后第14 d患者平均NIHSS评分分别为（12.44±5.89）分和（6.13±3.72）分，术后第90天mRS评分平均为（2.24±1.37）分。结论 Solitaire AB支架取栓治疗急性脑梗死可获得较高的血管再通率和临床预后，缩短术前准备时间和完善的取栓策略将有助于获得更好的预后。 |
| 英文摘要: |
| Objective To investigate the clinical effect of stent thrombectomy with Solitaire AB on treating acute cerebral infarction. Methods Twenty-six cases with acute cerebral infarction which were in the "time window" and treated by solitaire AB stent thrombectomy in emergency were retrospectively analyzed. Relevant time points were calculated, TICI grading system was used to assess the forward blood flow after thrombectomy, and NIHSS scale was applied for scoring the neural deficit preoperatively and 14 days postoperatively. On day 90, neural restoration assessment by modified Rankin scale (mRS) was performed.Results Twenty-five patients received successful stent thrombectomy (TICI≥2b). The NIHSS score was (12.44±5.89) for preoperation and (6.13±3.72) for day 14 postoperatively, between which there was a significant difference statistically (P<0.05). Three patients died from massive cerebral infarction or hemorrhage, and the others had varying rehabilitation of neural function with the mean mRS of (2.24±1.37) three months later.Conclusion The thrombectomy with Solitaire AB stent in treating acute cerebral embolism is effective in vascular recanalization and has good prognosis; shortening the time of preparation and wise strategy would help receive better prognosis. |
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