急性缺血性卒中Solitaire AB支架取栓术后颅内出血并发症分析

发布时间：2018-04-11 08:24

本文选题：急性缺血性卒中 + 支架取栓术　；参考：《介入放射学杂志》2017年05期

【摘要】：目的探讨急性缺血性卒中(AIS)患者接受Solitaire AB支架取栓术后颅内出血并发症的影响因素。方法收集2015年6月至2016年10月采用Solitaire AB支架取栓术治疗的32例AIS患者临床资料。分析取栓术后发生颅内出血性转化(HT)并发症患者基本资料,并与国内外相关研究进行对比分析。结果 32例AIS患者取栓手术均成功,术后病死率为9.4%(3/32)。3例术后发生症状性颅内HT,其中1例为前循环动脉闭塞,2例为后循环动脉闭塞,HT发生率为9.4%(3/32)。2例保守治疗,1例行经脑室钻孔外引流并植入储液囊,最终2例因HT死亡,1例经保守治疗恢复良好。HT死亡患者占所有死亡患者比例为2/3。结论颅内HT是AIS取栓手术致命性并发症。临床实践中应严格把握取栓手术适应证,术中精细操作,规范围术期管理,以降低出血并发症发生率。
[Abstract]:Objective to investigate the factors influencing the complications of intracranial hemorrhage after Solitaire AB stent removal in patients with acute ischemic stroke.Methods from June 2015 to October 2016, 32 patients with AIS underwent Solitaire AB stenting.To analyze the basic data of postoperative complications of intracranial hemorrhagic transformation (HTT) after thrombectomy, and to compare the data with related studies at home and abroad.Results all the 32 patients with AIS underwent thrombectomy successfully.Postoperative mortality was 9.4 / 32.3 cases with symptomatic intracranial HT.Among them, 1 case was anterior circulatory artery occlusion and 2 cases were posterior circulatory artery occlusion. The incidence of HT was 9.4% 32 / 32. 2 cases were treated conservatively. 1 case underwent transventricular borehole drainage and implanted liquid sac.Finally, 2 cases died of HT and 1 case recovered well after conservative treatment. The proportion of all patients died of HT was 2 / 3 / 3.Conclusion Intracranial HT is a fatal complication of AIS thrombectomy.In clinical practice, we should strictly grasp the indication of thrombectomy, fine operation during the operation, and management of the period of operation, so as to reduce the incidence of bleeding complications.
【作者单位】：郑州大学第五附属医院介入科;河南省人民医院介入科;
【分类号】：R651.1

【相似文献】