發(fā)布時間：2018-05-19 08:10

  本文選題：腦缺血 + 急性期��； 參考：《中國腦血管病雜志》2017年03期

【摘要】：目的初步探討采用TREVO支架對缺血性卒中急性期患者取栓的效果。方法回顧性分析北京豐臺右安門醫(yī)院神經(jīng)介入科2016年4月至6月使用TREVO取栓支架治療缺血性卒中急性期患者6例,其中大腦中動脈(MCA)閉塞2例(時間窗為2.7~5.5 h),基底動脈閉塞4例(時間窗為4.0~7.0 h),通過改良腦梗死溶栓試驗(mTICI)評價取栓效果,采用美國國立衛(wèi)生研究院卒中量表(NIHSS)評分評價治療前后患者神經(jīng)功能的狀況,采用改良Rankin量表(mRS)評分評估患者預(yù)后。結(jié)果 (1)6例患者經(jīng)1~2次取栓后,其中5例閉塞血管獲得再通(mTICIⅡb~Ⅲ級,后循環(huán)4例,MCA 1例),1例MCA閉塞部分再通(m TICIⅡa級);(2)2例MCA閉塞患者出院時NIHSS評分較入院時降低8分1例,無改善1例;4例基底動脈閉塞患者中,3例出院時NIHSS評分較入院時降低8~26分,無改善1例;2例MCA閉塞患者出院3個月mRS評分0分1例,4分1例;4例基底動脈出院后3個月mRS評分0分1例,1分2例,5分1例。結(jié)論使用TREVO支架取栓治療缺血性卒中急性期患者的初步經(jīng)驗顯示比較安全、有效。
[Abstract]:Objective to investigate the effect of TREVO stent on thrombus removal in acute ischemic stroke patients. Methods from April to June 2016, 6 patients with acute ischemic stroke were treated with TREVO thrombectomy stents in Department of Neurointervention, right Anmen Hospital, Fengtai, Beijing. Among them, 2 cases (2.755 h) were occluded by MCA (time window) and 4 cases (4.0 ~ 7.0 h) by basilar artery occlusion. The thrombolytic effect was evaluated by modified thrombolytic test (mTICI). The neurological function of patients before and after treatment was evaluated by the National Institutes of Health Stroke scale (NIHSS) and the prognosis was evaluated by modified Rankin scale (mRSv). Results after 2 times thrombectomy, 5 of the 6 patients received recanalization of mTICI 鈪，

本文編號：1909357