[1]孙荣辉　潘　力　白三莉等.颅内中等血管急性闭塞的血管内治疗分析[J].中国临床神经外科杂志,2021,26(12):924-927.[doi:10.13798/j.issn.1009-153X.2021.12.009]
　SUN Rong-hui,PAN Li,BAI San-li,et al.Clinical efficacy of endovascular treatment for patients with acute ischemic stroke due to medium vessel occlusion[J].,2021,26(12):924-927.[doi:10.13798/j.issn.1009-153X.2021.12.009]
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颅内中等血管急性闭塞的血管内治疗分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年12期
页码:
924-927
栏目:
论著
出版日期:
2021-12-25

文章信息/Info

Title:
Clinical efficacy of endovascular treatment for patients with acute ischemic stroke due to medium vessel occlusion
文章编号:
1009-153X（2021）12-0924-04
作者:
孙荣辉　潘　力　白三莉等
430070 武汉，中国人民解放军中部战区总医院神经外科/中国人民解放军神经外科研究所/国家级重点学科神经外科（孙荣辉、潘　力、白三莉、张少杰、蔡彦超、董小丽、杨　铭、马廉亭、赵曰圆、宋明昊）441000 湖北襄阳，中国人民解放军联勤保障部队第991医院神经康复科（宋明昊）
Author(s):
SUN Rong-hui1;  PAN Li1;  BAI San-li1;  ZHANG Shao-jie1;  CAI Yan-chao1;  DONG Xiao-li1;  YANG Ming1;  MA Lian-ting1;  ZHAo Yue-yuan1;  SONG Ming-hao1
1. Department of Neurosurgery, General Hospital of Central Theater Command, PLA, Wuhan 430070, China; 2. Department of Neurorehabilitation, The 991st Hospital of the PLA Joint Logistics Support Force, Xiangyang 441000, Chian
关键词:
急性脑卒中; 颅内动脉急性闭塞; 颅内中等血管; 血管内治疗
Keywords:
Acute ischemic stroke;  Acute intracranial artery occlusion;  Medium vessel occlusion;  Endovascular treatment
分类号:
R 743; R 815.2
DOI:
10.13798/j.issn.1009-153X.2021.12.009
文献标志码:
A
摘要:
目的 探讨血管内介入治疗颅内中等血管急性闭塞的安全性及有效性。方法 回顾性分析2017年1月至2021年9月采用血管内介入治疗的16例颅内中等血管急性闭塞的临床资料。颅内中等血管包括大脑中动脉M2/3段、大脑前动脉A2/3段和大脑后动脉P2/3段。结果 16例中，大脑中动脉M2段闭塞9例、M3段闭塞2例，大脑前动脉A2段闭塞2例，大脑后动脉P2段闭塞3例；8例符合静脉溶栓标准，行静脉溶栓后桥接血管内治疗。13例使用Solitaire AB支架取栓，2例动脉溶栓，1例直接球囊扩张成形。术后即刻TICI分级3级13例，2b级2例，血管再通率为93.7%（15/16）；另1例出现无症状性出血转化。术后90 d随访，预后良好率（mRS评分0~2分）为87.5%（14/16）。结论 对于颅内中等管径动脉急性闭塞，严格把握手术指征，采用可回收支架进行机械取栓治疗，血管开通率高，疗效好且安全。
Abstract:
Objective To investigate the safety and effectiveness of endovascular treatment for the patients with acute ischemic stroke due to medium vessel occlusion (MeVO). Methods A retrospective analysis of the clinical data of 16 patients with acute ischemic stroke due to MeVO who received endovascular treatment from January 2017 to September 2021 were retrospectively analyzed. Medium vessels included M2/M3 segmeng of middle cerebral artery (MCA), A2/A3 segment of anterior cerebral artery (ACA) and P2/P3 segment of posterior cerebral artery (PCA). Results Of 16 patients with MeVO, 9 patient suffered from occlusion in M2 segment, 2 in M3 segment, 2 in A2 segmrnt and 3 in P3 segment. Eight patients received intravenous thrombolysis followed by bridging endovascular treatment because they met the criteria for intravenous thrombolysis. Of 16 patients with MeVO, 13 patients received Solitaire AB stent thrombectomy, 2 received intra-arterial thrombolysis, and 1 received direct balloon dilatation. DSA performed immediately after endovascular treatment showed that TICI grade 3 was achieved in 13 patients, grade 2b in 2, and asymptomatic hemorrhagic transformation occurred in 1. The recanalization rate was 93.7%(15/16). The 90-day follow-up showed a good prognosis rate (mRS score of 0~2) of 87.5% (14/16). Conclusions Endovascular treatment using retrievable stents, which has a high recanalization rate and good curative effect and safety, is a good and effective method for the patients with acute ischemic stroke due to MeVO who meet the surgical indications

参考文献/References:

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更新日期/Last Update: 1900-01-01