血管内成形术治疗基底动脉急性闭塞的效果分析  

Effect Analysis of Endovascular Angiotherapy for Acute Occlusion of Basilar Artery

作　　者：徐可[1] 李辉 黄桂琴[1] XU Ke;LI Hui;HUANG Guiqin(Department of Neurosurgery,Shantou Central Hospital,Shantou Guangdong 515000,China)

机构地区：[1]汕头市中心医院神经外科,广东汕头515000

出　　处：《中国继续医学教育》2021年第35期120-124,共5页China Continuing Medical Education

摘　　要：目的探讨利用SolitaireFR支架及中间导管行血管内开通治疗急性基底动脉闭塞的安全性及有效性。方法回顾分析2014年10月—2017年12月本院神经外科收治的12例急性缺血性脑卒中(AIS)患者利用SolitaireFR支架取栓装置及中间导管抽吸装置治疗急性基底动脉闭塞患者的影像及临床资料,结合患者术后NHISS及MRS评分情况分析行基底动脉急性闭塞血管开通患者的临床愈后相关因素。结果12例患者中,合并房颤10例,5例合并高血压病,4例合并糖尿病。成功开通闭塞基底动脉11例,其中TICIⅢ级(8)例,Ⅱb级(3),Ⅱa级(0)例,1例不能开通。结论急性基底动脉闭塞行血管内成形术需要根据术前病史、术中影像资料具体分析,结合多种手段综合分析。治疗急性基底动脉闭塞安全有效,但其远期效果仍需要进一步研究证实。Objective To investigate the safety and efficacy of intravascular opening with solidairefr stent and intermediate catheter in the treatment of acute basilar artery occlusion. Methods The imaging and clinical data of 12 patients with acute ischemic stroke(AIS) treated by neurosurgery in our hospital from October 2014 to December 2017 were retrospectively analyzed, Combined with the postoperative nhiss and Mrs scores, the clinical recovery related factors of patients with acute basilar artery occlusion were analyzed. Results Among the 12 patients, 10 were complicated with atrial fibrillation, 5 with hypertension and 4 with diabetes. Of the 11 cases, TICI Ⅲ(8), Ⅱ b(3) Ⅱ a(0)and one case could not be opened. Conclusion Endovascular thrombectomy of acute basilar artery occlusion should be based on the analysis of preoperative medical history,intraoperative imaging data, combined with comprehensive analysis of multiple means. The treatment of acute basilar artery occlusion is safe and effective, but its long-term effect still needs further study to confirm.

关 键 词：椎基底动脉动脉 急性闭塞 血管内治疗 取栓术 预后 影响因素 

分 类 号：R743[医药卫生—神经病学与精神病学]