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中华介入放射学电子杂志 ›› 2020, Vol. 08 ›› Issue (04) : 333 -338. doi: 10.3877/cma.j.issn.2095-5782.2020.04.008

所属专题: 文献

神经介入

前循环串行病变的急诊介入治疗
李克1, 王铭义1, 张国栋1, 刘永晟1, 刘永建1, 王峰1,()   
  1. 1. 116011 辽宁大连,大连医科大学附属第一医院介入治疗科
  • 收稿日期:2020-06-25 出版日期:2020-11-25
  • 通信作者: 王峰

Mechanical thrombectomy for acute tandem occlusion of anterior circulation

Ke Li1, Mingyi Wang1, Guodong Zhang1, Yongsheng Liu1, Yongjian Liu1, Feng Wang1,()   

  1. 1. Department of Interventional Therapy, the First Affiliated Hospital of Dalian Medical University, Liaoning Dalian 116011, China
  • Received:2020-06-25 Published:2020-11-25
  • Corresponding author: Feng Wang
  • About author:
    Corresponding author: Wang Feng, Email:
引用本文:

李克, 王铭义, 张国栋, 刘永晟, 刘永建, 王峰. 前循环串行病变的急诊介入治疗[J/OL]. 中华介入放射学电子杂志, 2020, 08(04): 333-338.

Ke Li, Mingyi Wang, Guodong Zhang, Yongsheng Liu, Yongjian Liu, Feng Wang. Mechanical thrombectomy for acute tandem occlusion of anterior circulation[J/OL]. Chinese Journal of Interventional Radiology(Electronic Edition), 2020, 08(04): 333-338.

目的

分析机械取栓治疗前循环串行病变的疗效。

方法

9例前循环串行病变的患者进行取栓治疗,对合并颈动脉重度狭窄的患者辅以球囊成形或支架成形术。回顾性分析围手术期血管开通率及手术并发症情况。随访3个月,应用改良Rankin评分(mRS)进行评价临床疗效。

结果

腔内治疗后即刻再通率89%,症状性脑出血11%,90 d良好功能预后(mRS 0~2)33%,90 d随访死亡率11%。

结论

对前循环串行病变取栓并近段颈动脉病变成形术是安全有效的。

Objective

To analyze the efficacy of mechanical thrombectomy for acute tandem occlusion of anterior circulation.

Method

9 patients with acute tandem occlusion of anterior circulation received endovascular treatment, including Solitaire-based thrombectomy and angioplasty/stenting for patients with severe internal artery stenosis. Recanalization rate and procedural complications were retrospectively analyzed. Modified Rankin score was used for independence evaluation 3 months post operation.

Results

Immediate successful recanalization rate was 89%, symptomatic intracranial hemorrhage rate was 11%. Good clinical outcome (mRS 0-2) was achieved in 33% 90 d later, and mortality after 90 days was 11%.

Conclusions

Endovascular treatment for selected patients with acute tandem occlusion of anterior circulation was safe and effective.

图1 女性,64岁,被发现时言语不清,左侧肢体活动不灵2.5 h
表1 患者的基线临床资料[n(%)]
表2 介入手术资料[n(%)]
表3 近3年前循环串联性病变介入治疗病例系列
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