[1]朱金钊 张建刚 杨清成 冯 光.一期支架置入补救治疗急性后循环大动脉闭塞机械取栓术失败病人的疗效[J].中国临床神经外科杂志,2019,(09):531-534.[doi:10.13798/j.issn.1009-153X.2019.09.006]
 ZHU Jin-zhao,ZHANG Jian-gang,YANG Qing-cheng,et al.Effect of one-stage stent implantation on the prognoses of patients with acute posterior cerebral large artery occlusive infarction after failure of mechanical thrombectomy[J].,2019,(09):531-534.[doi:10.13798/j.issn.1009-153X.2019.09.006]
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一期支架置入补救治疗急性后循环大动脉闭塞机械取栓术失败病人的疗效()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年09期
页码:
531-534
栏目:
论著
出版日期:
2019-09-20

文章信息/Info

Title:
Effect of one-stage stent implantation on the prognoses of patients with acute posterior cerebral large artery occlusive infarction after failure of mechanical thrombectomy
文章编号:
1009-153X(2019)09-0531-04
作者:
朱金钊 张建刚 杨清成 冯 光
455000 河南,安阳市人民医院神经内科(朱金钊、张建刚、杨清成);450000 郑州,河南省人民医院神经外科(冯 光)
Author(s):
ZHU Jin-zhao1 ZHANG Jian-gang1 YANG Qing-cheng1 FENG Guang2.
1. Department of Neurology, Anyang People’s Hospital, Anyang 455000, China; 2. Departmen of Neurosurgery, People’s Hospital of Henan Province, Zhengzhou 450000, China
关键词:
急性缺血性卒中后循环大动脉闭塞机械取栓术支架置入术一期补救治疗
Keywords:
Acute ischemic stroke Posterior cerebral circulation Mechanical thrombectomy One-stage stent implantation
分类号:
R 743.3; R 815.2
DOI:
10.13798/j.issn.1009-153X.2019.09.006
文献标志码:
A
摘要:
目的 探讨一期支架置入术作为急性后循环大动脉闭塞机械取栓失败后补救性治疗的疗效。方法 回顾性分析2016年1月至2018年6月单独支架取栓或联合抽吸取栓治疗后循环大动脉闭塞所致急性脑卒中186例,146例实现闭塞血管成功再通;40例血流恢复较差,其中28例接受一期支架置入补救性治疗(支架组);12例拒绝支架置入治疗(非支架组),仅给予基础抗栓治疗。结果 支架组血管再通率(75.00%)明显高于非支架组(0%;P<0.05)。术后90 d,支架组预后良好率(64.29%,改良Rankin量表评分0~2分)明显高于非支架组(8.33%;P<0.05)。支架组术后90 d病死率(21.43%)明显低于非支架组(83.33%;P<0.05)。支架组症状性颅内出血发生率(7.14%)与非支架组(16.67%)无统计学差异(P>0.05)。结论 一期支架置入术作为急性后循环大动脉闭塞机械取栓术失败的补救性治疗,再通率高,并发症少,可显著改善病人的预后。
Abstract:
Objective To investigate the effect of one-stage stent implantation on the prognoses of patients with acute posterior cerebral large artery occlusive infarction after failure of mechanical thrombectomy. Methods Of 186 patients with acute posterior cerebral large artery occlusive infarction who were treated with stent extraction alone or combined with aspiration thrombus from January 2016 to June 2018, 146 patients had occlusive artery recanalization and other 40 had poor blood flow recovery. Of these 40 patients with poor blood flow recovery, 28 patients received one-stage stent implantation (stent group), and 12 received only basic antithrombus therapy (non-stent group). Results The recanalization rate of stent group (75.00%) was significantly higher than that (0%) of non-stent group (P<0.05). The rate of good prognosis in stent group (64.29%) 90 days after stent implantation was significantly higher than that (8.33%) in non-stent group (P<0.05). The mortality (21.43%) of stent group 90 days after stent implantation was significantly lower than that (83.33%) of non-stent group (P<0.05). There was no significant difference in the incidence of symptomatic intracranial hemorrhage between stent group (7.14%) and non-stenting group (16.67%; P>0.05). Conclusions As a remedial treatment for the failure of mechanical thrombectomy for patients with acute posterior cerebral large artery occlusive infarction, one-stage stent implantation has higher recanalization rate, fewer complications and better prognosis.

参考文献/References:

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备注/Memo

备注/Memo:
(2019-03-30收稿,2019-06-24修回)
更新日期/Last Update: 2019-09-20