Solitaire FR支架机械取栓联合5F Navien导管抽吸技术治疗大脑中动脉急性闭塞的效果分析

发布时间：2018-02-10 21:26

本文关键词： 支架导管插入术梗塞大脑中动脉机械取栓　出处：《中国脑血管病杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨Solitaire FR支架机械取栓联合5F Navien导管抽吸技术治疗大脑中动脉急性闭塞的安全性和有效性。方法回顾性连续纳入2016年2月至5月首都医科大学宣武医院神经外科接受Solitaire FR支架机械取栓联合5F Navien导管抽吸技术治疗的大脑中动脉急性闭塞患者(发病6 h)11例的病例资料,记录患者年龄、性别、入院美国国立卫生研究院卒中量表(NIHSS)评分、脑梗死溶栓试验(TICI)分级、手术相关并发症、术后24 h NIHSS评分,术后90 d改良Rankin量表(mRS)评分。通过SPSS软件对治疗前后相关数据的差异进行分析。结果 11例大脑中动脉急性闭塞患者中,男7例,女4例,年龄44~78岁,平均(66±11)岁;术前及术后NIHSS评分分别为(18±3)、(8±4)分,治疗前后差异有统计学意义(t=5.327,P0.01);均成功实现闭塞大脑中动脉的再通。术后90 d随访,患者预后良好(mRS 0~2分)7例。无严重的M1段内导管操作的相关并发症。结论初步经验显示,Solitaire FR支架机械取栓联合5F Navien导管抽吸技术治疗大脑中动脉急性闭塞是一种安全有效的血管内机械取栓方法。
[Abstract]:Objective to investigate the safety and efficacy of mechanical removal of Solitaire FR stent combined with 5 F Navien catheter aspiration in the treatment of acute middle cerebral artery occlusion. Methods from February 2016 to May, the nerve of Xuanwu Hospital, Capital Medical University, was included retrospectively. Patients with acute middle cerebral artery occlusion treated by mechanical removal of Solitaire FR stents combined with 5 F Navien catheter aspiration (data of 11 cases at 6 hours of onset), Age, sex, stroke scale (NIHSS) score, thrombolytic test (TICI) grade, operative complications, NIHSS score 24 hours after operation were recorded. Results the data of 11 patients with acute middle cerebral artery occlusion (MCAO) were analyzed by SPSS software. Results there were 7 males and 4 females, aged 44 to 78 years (mean 66 卤11). The scores of NIHSS before and after operation were 18 卤3 and 8 卤4, respectively. The difference before and after treatment was statistically significant, and the recanalization of middle cerebral artery occlusion was achieved successfully. The follow-up was 90 days after operation. The prognosis was good in 7 patients with MRS-0 ~ 2. There were no serious complications associated with M1 catheter operation. Conclusion the preliminary experience shows that mechanical embolization of solitaire FR stents combined with 5 F Navien catheter aspiration is a kind of treatment for acute occlusion of middle cerebral artery. Safe and effective intravascular mechanical thrombectomy.
【作者单位】：首都医科大学宣武医院神经外科;
【分类号】：R651.12

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