颅内自膨胀支架植入术治疗急性前循环觉醒型卒中  

Self-expanding stent in treatment of wake-up stroke with intracranial anterior circulation of cerebrum

作　　者：范红星[1] 张素平[1] 何锐[1] 邓婉青[1] 杜德坤[1] 

机构地区：[1]暨南大学医学院第四附属医院,广州市红十字会医院神经内科,广东广州510220

出　　处：《中国介入影像与治疗学》2014年第8期481-484,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨颅内自膨胀支架治疗急性觉醒型卒中的有效性和安全性。方法对16例急性前循环系统觉醒型卒中患者行颅内自膨胀支架治疗。于术前及术后24h行美国国立卫生院卒中量表（NIHSS）评分，术后14天及3个月分别行改良Rankin量表（mRS）评分，评估临床预后。结果16例患者术前NIHSS评分为7～28分，中位数为18分；术后11例血管再通，8例术后24h内NIHSS评分改善大于4分，3个月随访10例临床预后良好（mRs≤2）；1例症状性颅内出血，2例死亡。结论颅内自膨胀支架治疗急性前循环觉醒型卒中安全有效。Objective To investigate the effectiveness and safety of self-expanding stent in treatment of wake-up stroke in anterior circulation of cerebrum. Methods Sixteen patients with acute anterior circulation wake-up strokes were enrolled. All patients underwent endovaseular procedures of self-expanding stent. Neurological function was assessed with National Institute of Health stroke scale （NIHSS） score before and 24 h after treatment. Modified Rankin score （mRS） was evalua- ted 14 and 90 days after treatment. Results The NIHSS scores of 16 patients before treatment were from 7 to 28 （median 18）. Successful revascularization in cerebral ischemia was achieved in 11 treated vessels. Eight patients achieved reduction of 〉4 points in the 24 h NIHSS score, and 10 patients had good functional recovery after 3 months （mRS≤2）. Early symptomatic hemorrhagic transformation was noted in 1 patient, while 2 patients died after procedure. Conclusion Using intraeranial self-expanding stent can achieve high recanalization rate and good functional outcomes in treatment of anterior circulation wake-up strokes.

关 键 词：觉醒型卒中 支架 再灌注 

分 类 号：R743.3[医药卫生—神经病学与精神病学]