【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。更多还原

【Abstract】 Objective To explore the curative effects of Solitaire AB stent-assisted mechanical embolectomy on acute occlusion ofmajor intracranial arteries.MethodsThe clinical data of 46 patients with acute cerebral infarction,of whom 7 suffered from internalcarotid artery occlusion,22 from middle cerebral artery occlusion,3 from both the internal carotid artery and middle cerebral arteryocclusion and 14 from large artery occlusion of the posterior circulation,treated with Solitaire AB stent-assisted mechanicalembolectomy from March,2011 to November,2014 were analyzed retrospectively.ResultsSolitaire AB stent-assisted mechanicalembolectomy 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 theoperation 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 in1 patient.ConclusionThe recanalization rate of the occluded arteries may be enhanced and ischemic-reperfusion damage to thecerebral tissues may be reduced by the emergent intra-arterial mechanical embolectomy in the patients with acute cerebral infarction,inwhom the mechanical embolectomy may be a good method to treat the occlusion of the intracranial arteries.更多还原