SolitaireTM支架取栓治疗急性基底动脉闭塞研究

被引：26

作者：

高峰

孙瑄

莫大鹏

马宁

刘恋

霍晓川

缪中荣

机构：

[1] 首都医科大学附属北京天坛医院急诊介入科(介入神经病学科),国家神经系统疾病临床医学研究中心

来源：

中国卒中杂志 | 2015年 / 10卷 / 07期

关键词：

基底动脉; 卒中; 支架; 机械取栓;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

1002 ;

摘要：

目的评估急性基底动脉闭塞患者使用SolitaireTM支架机械取栓的有效性和安全性,分析其临床预后的影响因素。方法回顾性分析本中心连续入组的30例急性基底动脉闭塞患者,均使用SolitaireTM支架设备进行机械取栓治疗分析支架,分析取栓治疗的再通率及并发症,评估治疗90 d临床预后,分析影响临床预后的因素。结果 30例患者均顺利完成机械取栓手术。患者平均年龄为(58.6±8.4)岁,术前美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分中位数25.5分(21.3,29.5),格拉斯哥昏迷量表(Glasgow Coma Scale,GCS)评分中位数8分(6.0,9.8),改良Rankin量表(modified Rankin Scale,m RS)评分中位数5分(5.0,5.0)。成功再通[脑梗死溶栓分级(Thrombolysis in Cerebral Ischemia Scale,TICI)3或2b级]28例(93.3%),6例(20.0%)发生症状性颅内出血,9例(30.0%)患者预后良好(m RS 0～2分)。9例死亡,死亡率为30.0%(9/30)。术前患者意识不清(P=0.014)及m RS评分较高(P=0.020)与不良预后(m RS>2分)相关。结论使用SolitaireTM支架进行急性基底动脉闭塞患者的机械取栓,有较高的再通率,能够改善功能性预后。

引用

页码：543 / 549

页数：7

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