机械取栓治疗伴椎基底动脉闭塞的轻型卒中2例分析  

Mechanical thrombectomy in treatment of mild stroke with vertebral basilar artery occlusion:analysis of 2 cases

作　　者：张洪阳 韩新生 毛中臣 刘宁 徐建可 韩苗 张蕴 张艳 张高才 付志新 Zhang Hongyang;Han Xinsheng;Mao Zhongchen;Liu Ning;Xu Jianke;Han Miao;Zhang Yun;Zhang Yan;Zhang Gaocai;Fu Zhixin(Department of Neurology,Kaifeng Central Hospital,Kaifeng 475000,China)

机构地区：[1]开封市中心医院神经内科,475000

出　　处：《中华介入放射学电子杂志》2019年第1期49-54,共6页Chinese Journal of Interventional Radiology：electronic edition

基　　金：河南省科技发展计划项目(182102310445);河南省医学科技攻关计划项目(201303204)

摘　　要：目的:探讨机械取栓治疗伴椎基底动脉闭塞的后循环轻型卒中的有效性及安全性。方法:通过对2例伴椎基底动脉闭塞轻型卒中患者进行机械取栓治疗,并引用文献进行分析,探讨该治疗方法的有效性及安全性。结果:2例合并椎基底动脉闭塞的轻型卒中通过机械取栓治疗均取得良好的效果,未出现明显的并发症。结论:对合并椎基底动脉闭塞的轻型卒中进行机械取栓治疗安全有效;治疗过程中准确评估血栓长度及部位,采取综合措施再通血管同时防止血栓远端脱落是最关键的治疗要素。Objective:To explore the safety and effectiveness of mechanical thrombectomy for posterior circulation mild stroke with vertebral basilar artery occlusion.Methods:Two cases of mild stroke with vertebral basilar artery occlusion were diagnosed and treated by mechanical thrombectomy,and the literature was cited to analyze the effectiveness and safety of the modified treatment.Results:Mechanical thrombectomy in 2 cases with vertebral basilar artery occlusion achieved good results without obvious complications.Conclusions:Mechanical thrombectomy for mild stroke combined with vertebral basilar artery occlusion is safe and effective.Accurate assessment of the length and location of thrombus,comprehensive measures to revascularization and prevention of distal thrombosis are the most critical therapeutic factors.

关 键 词：轻型卒中 椎基底动脉闭塞 机械取栓 

分 类 号：R743.3[医药卫生—神经病学与精神病学]