Navien导管辅助SolitaireAB支架治疗急性基底动脉闭塞  

Treatment of acute occlusion of basilar artery by Navien Guide catheter-assisted Solitaire AB stent

作　　者：于正涛[1] 王磊[1] 涂国龙 陈焕雄 夏鹰 YU Zheng-tao;WANG Lei;TU Guo-Long;CHEN Huan-xiong;XIA Ying(Department of Neurosurgery,Affiliated Haikou Hospital,Central South University,Haikou 570208,China)

机构地区：[1]中南大学附属海口医院神经外科,海口570208

出　　处：《中国临床神经外科杂志》2018年第8期537-539,共3页Chinese Journal of Clinical Neurosurgery

基　　金：国家自然科学基金(81760234)

摘　　要：目的探讨在Navien导引导管辅助下Solitaire AB支架取栓治疗急性基底动脉闭塞的临床疗效。方法回顾性分析2016年4月至2018年3月使用Navien导引导管联合Solitaire AB支架取栓治疗的36例急性基底动脉闭塞的临床资料。结果单纯支架取栓24例,静脉应用阿替普酶桥接+支架取栓12例;取栓次数1次10例,2次18例,≥3次8例。血管成功再通33例(91.7%),未通3例(8.3%);发病到血管再通时间(257.6±35.43)min。术后24 h美国国立卫生研究院卒中量表评分[(15.7±4.31)分]较术前[(28.8±5.78)分]明显降低(P<0.05)。术后3个月,预后良好21例(改良Rankin量表评分0~2分;58.3%),预后不良15例(改良Rankin量表评分3~6分;41.7%,其中死亡4例)。结论 Navien导引导管辅助Solitaire AB支架取栓治疗急性基底动脉闭塞再通率高,临床预后较好。Objective To explore the clinical effects of mechanical thrombectomy with Navien Guide catheter assisted Solitaire AB stent on acute basilar artery occlusion.Methods Mechanical thrombectomy was performed with Navien Guide catheter assisted Solitaire AB stent in 36 patients with acute basilar artery occlusion.The vascular recanalization was determined according to the Thrombolysis in Cerebral Infarction scale.The clinical outcomes were assessed by modified Rankin scale 3 months after the treatment.Results Of 36 patients with acute basilar artery occlution receiving mechanical thrombectomy,33 had the recanalization of the occluded basilar arteries and 3 not.There were favorable outcomes(modified Rankin Scale,0-2 scores)in 21 patients(21/36),poor outcomes in 15 patients(15/36)including 4 who died and 11 who were disabled 3 months after the treatment.Conclusion The mechanical thrombectomy with Navien Guide catheter-assisted Solitaire AB stent is an effective method to treat the acute basilar artery occlusion.

关 键 词：急性基底动脉闭塞 机械取栓术 Navien导管 SolitaireAB支架 疗效 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R815.2[医药卫生—临床医学]