比较2种微导丝对脑卒中支架取栓速度及安全性的影响

发布时间：2018-04-08 20:30

本文选题：支架取栓　切入点：Synchro微导丝　出处：《上海交通大学学报(医学版)》2017年06期

【摘要】：目的·比较0.014 in的Synchro微导丝和Transend微导丝对急性缺血性脑卒中支架取栓的速度及安全性的影响。方法·入组2012年10月至2017年1月在上海交通大学医学院附属第九人民医院接受机械取栓的急性缺血性卒中患者46例,分为Synchro组(21例)和Transend组(25例),比较2组手术操作时间及安全性等指标。结果·2组闭塞血管再通率类似(P=0.600),但Synchro组从股动脉穿刺至血管再通时间显著短于Transend组(48.88 min vs 82.33 min,P=0.001)。2组患者术后3个月获得功能独立(mRS≤2)的比例类似(P=1.000),操作后蛛网膜下腔出血发生率类似(P=1.000)。但Transend组有2例因血管穿孔导致严重蛛网膜下腔出血伴血肿,均死亡;Synchro组仅有1例轻微的单纯蛛网膜下腔出血,恢复良好。结论·和Transend微导丝相比,Synchro微导丝能够缩短支架取栓操作时间,致命性蛛网膜下腔出血风险较小。
[Abstract]:Objective to compare the effects of 0.014 min Synchro microlead wire and Transend microlead wire on the speed and safety of stent removal in acute ischemic stroke.Methods from October 2012 to January 2017, 46 patients with acute ischemic stroke received mechanical thrombectomy at the Ninth people's Hospital affiliated to the School of Medicine of Shanghai Jiaotong University.Two groups were divided into Synchro group (n = 21) and Transend group (n = 25).The incidence of hemorrhage in the inferior cavity was similar to that of Phae 1.000.But there were 2 cases of severe subarachnoid hemorrhage associated with hematoma caused by vascular perforation in Transend group. There was only 1 case of simple subarachnoid hemorrhage in the Transend group and the recovery was good.Conclusion compared with Transend microconductive wire, Transend microconductive wire can shorten the operation time of stent thrombectomy, and the risk of fatal subarachnoid hemorrhage is lower.
【作者单位】：上海交通大学医学院附属第九人民医院神经内科;
【基金】：上海市教育委员会高峰高原学科建设计划(20161422) 上海交通大学医学院临床研究项目(DLY201614) 上海市“科技创新行动计划”生物医药领域科技支撑项目(16411953100)~~
【分类号】：R743.3

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