[1]何　俊　夏　鹰　陈焕雄　颜　山.Solitaire AB支架机械取栓治疗急性颅内动脉闭塞[J].中国临床神经外科杂志,2015,(08):466-468.[doi:10.13798/j.issn.1009-153X.2015.08.007]
　HE Jun,XIA Ying,CHEN Huan-xiong,et al.Curative effects of mechanical embolectomy with Solitaire AB stents on acute cerebral infarction[J].,2015,(08):466-468.[doi:10.13798/j.issn.1009-153X.2015.08.007]
点击复制

Solitaire AB支架机械取栓治疗急性颅内动脉闭塞()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年08期
页码:
466-468
栏目:
论著
出版日期:
2015-08-25

文章信息/Info

Title:
Curative effects of mechanical embolectomy with Solitaire AB stents on acute cerebral infarction
文章编号:
1009-153X（2015）08-0466-03
作者:
何　俊　夏　鹰　陈焕雄　颜　山
570208，海口市人民医院神经外科（何　俊、夏　鹰、陈焕雄、颜　山）
Author(s):
HE Jun;  XIA Ying;  CHEN Huan-xiong;  YAN Shan.
Department of Neurosurgery, People’s Hospital of Haikou City, Haikou 570208, China
关键词:
急性缺血性脑卒中; 颅内动脉闭塞; 机械取栓; Slitaire AB支架; 疗效
Keywords:
Acute ischemic stroke;  Mechanical embolectomy;  Solitaire AB stent
分类号:
R 743.3; R 815.2
DOI:
10.13798/j.issn.1009-153X.2015.08.007
文献标志码:
A
摘要:
目的 探讨Solitaire AB支架机械取栓术治疗急性颅内大血管闭塞的疗效。方法 2011年3月至2014年11月收治46例急性颅内动脉闭塞的病人，均采用Solitaire AB支架机械取栓治疗。结果 46例患者取栓手术均取得成功，总再通率91.3%（42/46）；取栓次数为1~4次；取栓时间平均为23 min；术后死亡2例。出院后随访1~3个月，失访1例；改良Rankin量表评分0分31例，1分10例，2分1例，4分1例，6分2例。结论 动脉内机械取栓能大大缩短血管再通时间，最大程度的挽救缺血半暗带脑组织，减轻脑组织损伤，是治疗急颅内动脉闭塞的有效方法。
Abstract:
Objective To explore the curative effects of Solitaire AB stent-assisted mechanical embolectomy on acute occlusion of major intracranial arteries. Methods The clinical data of 46 patients with acute cerebral infarction, of whom 7 suffered from internal carotid artery occlusion, 22 from middle cerebral artery occlusion, 3 from both the internal carotid artery and middle cerebral artery occlusion and 14 from large artery occlusion of the posterior circulation, treated with Solitaire AB stent-assisted mechanical embolectomy from March, 2011 to November, 2014 were analyzed retrospectively. Results Solitaire AB stent-assisted mechanical embolectomy was successfully performed in all the patients. The total rate of recanalization of the occluded cerebral arteries was 91.3% (42/46). GOS was 5 points in 30 patients, 4 in 2 and 2 died 3 days after the operation. The following up from 1 to 3 months after the operation showed that modified Rankin score was zero point in 31 patients, 1 in 10, 2 in 1, 4 in 1 and 6 in 2. The following up was lost in 1 patient. Conclusion The recanalization rate of the occluded arteries may be enhanced and ischemic-reperfusion damage to the cerebral tissues may be reduced by the emergent intra-arterial mechanical embolectomy in the patients with acute cerebral infarction, in whom the mechanical embolectomy may be a good method to treat the occlusion of the intracranial arteries.

参考文献/References:

[1] 中华预防医学会卒中预防与控制专业委员会介入学组， 急性缺血性脑卒中血管内治疗中国专家共识组. 2014急 性缺血性脑卒中血管内治疗中国专家共识[J]. 中华医学 杂志，2014，94（27）：2097-2100.
[2] Castano C, Serena J, Davalos A. Use of the new Solitare (TM) AB device for mechanical thrombectomy when Merci Clot Retriever has failed to remove the clot: a case report [J]. Interv Neuroradiol, 2009, 15(2): 209-214.
[3] Jiang WJ, Yu W, Du B, et al. Outcome of patients with≥ 70% symptomatic intracranial stenosis after Wingspan stenting [J]. Stroke, 2011, 42(7): 1971-1975.
[4] Hiqashida RT, Furlan AJ, Roberts, et al. Trial design and reporting standards for intra-arterial cerebral thrombolysis for acute ischemic stroke [J]. Stroke, 2003, 34(8): e109- e137.
[5] Brekenfeld C, Schroth G, Mordasini P, et al. Impact of retrievable stents on acute ischemic stroke treatment [J]. Am J Neuroradiol, 2011, 32(7): 1269-1273.
[6] Castano C, Dorado L, Guerrero C, et al. Mechanical throm- bectomy with the Solitaire AB device in large artery occclu- sions of the anterior circulation: a pilot study [J]. Stroke, 2010, 41(8): 1836-1840.
[7] 姜长春，李月春，王宝军，等. 单纯机械取栓术与动脉内复 合方式治疗急性脑梗死的对比[J]. 中国脑血管病杂志， 2012，9（9）：461-465.
[8] Carpenter CR, Keim SM, Milne WK, et al. Thrombolytic therapy for acute ischemic stroke beyong three hours [J]. J Emerq Med, 2011, 40(1): 82-92.
[9] 梁文宝，刘定华，朱祖福，等. SolitaireAB支架取栓术治疗 大动脉闭塞性急性脑梗死的疗效[J]. 中国脑血管病杂 志，2013，10（10）：523-527.
[10] 鲁海涛，李明华，赵俊功. 机械取栓在急性血栓性脑卒中 中的应用[J]. 介入放射学杂志，2008，17（8）：601-604.

相似文献/References:

[1]喻　健　王海嵘　潘曙明 综述　葛勤敏 审校.急性缺血性脑卒中机械取栓术的研究进展[J].中国临床神经外科杂志,2015,(08):503.[doi:10.13798/j.issn.1009-153X.2015.08.023]
[2]闫忠军　徐东为　胡　焱　张玉凯　杨建龙.急性缺血性脑卒中的治疗体会[J].中国临床神经外科杂志,2017,(08):591.[doi:10.13798/j.issn.1009-153X.2017.08.025]
[3]黄昌恒　于耀宇　姚自同.急性缺血性脑卒中机械取栓术中应用替罗非班效果的Meta分析[J].中国临床神经外科杂志,2019,(09):527.[doi:10.13798/j.issn.1009-153X.2019.09.005]
　HUANG Chang-heng,YU Yao-yu,YAO Zi-tong.Meta-analysis of impact of tirofiban on clinical effect of mechanical thrombectomy on acute ischemic stroke[J].,2019,(08):527.[doi:10.13798/j.issn.1009-153X.2019.09.005]
[4]罗　宽　周赤忠　潘德锐　乔　木　胡　蝶　段玲俐.动脉溶栓联合机械取栓治疗急性缺血性脑卒中[J].中国临床神经外科杂志,2019,(09):560.[doi:10.13798/j.issn.1009-153X.2019.09.017]
[5]孙　兵　丁鸭锁　常　浩.Solitaire支架取栓术治疗急性缺血性脑卒中的疗效[J].中国临床神经外科杂志,2019,(12):764.[doi:10.13798/j.issn.1009-153X.2019.12.016]
[6]王　英　杜丽英.完善绿色通道及取栓流程对急性缺血性脑卒中病人神经功能的影响[J].中国临床神经外科杂志,2019,(12):769.[doi:10.13798/j.issn.1009-153X.2019.12.019]
[7]韩冰莎　李　娇　李　翔　栗艳茹　张　磊　赵敬河　冯　光.脑氧饱和度监测目标导向治疗在前循环急性缺血性脑卒中机械取栓术后管理的效果[J].中国临床神经外科杂志,2020,(02):73.[doi:10.13798/j.issn.1009-153X.2020.02.004]
　HAN Bing-sha,LI Jiao,LI Xiang,et al.Effects of targeted therapy under direction of monitoring cerebral oxygen saturation on patients with acute ischemic stroke of anterior circulation undergoing mechanical thrombectomy[J].,2020,(08):73.[doi:10.13798/j.issn.1009-153X.2020.02.004]
[8]吴小兵　杨旭森　洪　宇.球囊扩张在急性缺血性卒中合并原位狭窄中的处理体会[J].中国临床神经外科杂志,2021,26(07):544.[doi:10.13798/j.issn.1009-153X.2021.07.016]
[9]赵曰圆,马廉亭.急性脑梗塞（急性缺血性脑卒中）的治疗新方法——机械取栓（拉栓）[J].中国临床神经外科杂志,2022,27(05):431.[doi:10.13798/j.issn.1009-153X.2022.05.039]
[10]艾克拜尔·加马力,谢克来·阿不力肯,艾合买提·扎依尔.超时间窗静脉溶栓治疗轻、中型急性缺血性脑卒中[J].中国临床神经外科杂志,2022,27(08):688.[doi:10.13798/j.issn.1009-153X.2022.08.022]

备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81360190）
通讯作者：夏　鹰，E-mail：xiaying008@163.com
更新日期/Last Update: 2016-08-25