Solitaire支架机械取栓治疗急性基底动脉闭塞的临床疗效分析(附五例报道)  

Efficacy of mechanical thrombectomy with Solitaire stent in acute basilar artery occlusion:an analysis of 5 cases

作　　者：任斌 仝海波 王向阳 Ren Bin;Tong Haibo;Wang Xiangyang(Department of Neurosurgery,Shanxi Bethune Hospital,Taiyuan 030032,China)

机构地区：[1]山西白求恩医院神经外科,太原030032

出　　处：《中华神经医学杂志》2020年第2期120-124,共5页Chinese Journal of Neuromedicine

摘　　要：目的探讨Solitaire支架机械取栓治疗急性基底动脉闭塞患者的疗效及安全性。方法回顾性收集山西大医院神经外科自2016年5月至2018年11月收治的5例采用Solitaire支架机械取栓治疗的急性基底动脉闭塞患者的临床资料,并分析其疗效及安全性。结果5例患者均顺利完成机械取栓,其中4例实现血管再通(改良脑梗死溶栓分级2b/3级),1例术中血栓脱落至远端小动脉;术后均未发生症状性颅内出血事件,1例术后因小脑大面积梗死行去骨瓣减压术;术后90 d随访预后良好(改良Rankin量表评分0~3分)4例。结论Solitaire支架机械取栓治疗符合手术适应证的急性基底动脉闭塞患者是安全、有效的。Objective To explore the efficacy and safety of mechanical thrombectomy with Solitaire device in patients with acute basilar artery occlusion(ABAO).Methods The clinical data of 5 patients with ABAO,underwent mechanical thrombectomy with Solitaire stent in our hospital from May 2016 to November 2018,were analyzed retrospectively.The clinical treatment efficacy and safety were recorded.Results All these 5 patients accepted endovascular mechanical thrombectomy successfully;successful recanalization(modified Thrombolysis in Cerebral Infarction[mTICI]grading 2b or 3)was achieved in 4 patients;the embolus was detached to the distal arteriole in one patient.There was no symptomatic intracranial hemorrhage;one patient accepted decompressive craniectomy resulting from massive infarction of cerebellum.Follow up results 90 d after treatment indicated that 4 patients enjoyed good prognosis(modified Rankin Scale scores:0-3).Conclusion Mechanical thrombectomy with Solitaire device is suggested to be safe and efficient in ABAO patients complying with appropriate operative indications.

关 键 词：急性基底动脉闭塞 机械取栓 Solitaire支架 

分 类 号：R651[医药卫生—外科学]