[1]刘 露,李雪静,翟其金,等.直接抽吸一次性取栓治疗心源性栓塞型急性基底动脉闭塞临床分析[J].介入放射学杂志,2023,32(04):366-370.
 LIU Lu,LI Xuejing,ZHAI Qijin,et al. A direct aspiration first pass technique for cardiogenic embolism-type acute basilar artery occlusion: a clinical analysis[J].journal interventional radiology,2023,32(04):366-370.
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直接抽吸一次性取栓治疗心源性栓塞型急性基底动脉闭塞临床分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年04
页码:
366-370
栏目:
临床研究
出版日期:
2023-05-02

文章信息/Info

Title:
 A direct aspiration first pass technique for cardiogenic embolism-type acute basilar artery occlusion: a clinical analysis
作者:
刘 露 李雪静 翟其金 陈 春 刘玉峰 王 清 赵连东
Author(s):
LIU Lu LI Xuejing ZHAI Qijin CHEN Chun LIU Yufeng WANG Qing ZHAO Liandong.
Department of Neurology, Affiliated Huai’an Hospital of Xuzhou Medical University, Huai’an, Jiangsu Province 223002, China
关键词:
【关键词】 心源性栓塞 基底动脉闭塞 直接抽吸一次性取栓技术 预后
文献标志码:
A
摘要:
【摘要】 目的 探讨直接抽吸一次性取栓技术(ADAPT)治疗心源性栓塞型急性基底动脉闭塞(ABAO)患者的安全性、有效性及预后影响因素。方法 回顾性分析2018年1月至2021年6月徐州医科大学附属淮安医院采用ReactTM68导管系统血管内直接抽吸取栓术治疗的22例心源性栓塞型ABAO患者临床基线资料及手术相关指标。观察术后不良反应发生情况,评价术后7 d美国国立卫生研究院卒中量表(NIHSS)评分、术后90 d改良Rankin量表(mRS)评分。根据90 d mRS评分将患者分为预后良好(mRS评分0~2分)和预后不良(mRS评分3~6分),比较两者间临床资料及手术相关指标差异。结果 19例患者成功再通血管(mTICI血流分级3级或2b级)。术后90 d预后良好8例,预后不良14例,预后良好率为36.4%,病死3例(13.6%)。预后良好与预后不良患者相比,基线NIHSS评分更低(Z=-2.911,P=0.004),发病至到院时间更短(Z=-2.458,P=0.014)、发病至血管再通时间更快(Z=-2.321,P=0.020);术后不良事件症状性颅内出血、血栓逃逸、对比剂滞留差异无统计学意义(均P>0.05),9例大面积脑梗死均为预后不良患者(P=0.006);未发生手术操作相关并发症。结论 ADAPT治疗心源性栓塞型ABAO具有较高的血管再通率,可获得安全有效的临床预后。基线NIHSS评分、发病至到院时间、发病至血管再通时间可能是影响心源性栓塞型ABAO患者ADAPT治疗预后的因素。


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备注/Memo

备注/Memo:

(收稿日期:2022- 02- 24

(本文编辑:边 佶)

更新日期/Last Update: 2023-05-02