取栓支架引导中间导管通过技术治疗颅内外动脉急性串联闭塞合并近端不稳定血栓病变  

Embolization Stent Guide Middle Catheter through Technique to Treat Acute Tandem Occlusion of Intracranial and Extracranial Arteries with Unstable Proximal Thrombosis

作　　者：徐志鹏 李莉 李新妍 XU Zhipeng;LI Li;LI Xinyan(The Second Department of Neurology,Wudi County People's Hospital,Wudi,Shandong Province,251900 China)

机构地区：[1]无棣县人民医院神经内二科,山东无棣251900

出　　处：《世界复合医学》2022年第1期45-48,共4页World Journal of Complex Medicine

摘　　要：目的研究取栓支架引导中间导管通过技术(stent/solitaire leading intermediate catheter passing,SLIP)在治疗颅内外动脉急性串联闭塞合并近端不稳定血栓病变的临床运用。方法选取2020年10—11月无棣县人民医院1例颅内外动脉急性串联闭塞患者的临床资料、手术过程、治疗经过等进行回顾性分析,总结该技术的操作要点及技术优势。结果运用该技术快速成功实现闭塞动脉再通,mTICI分级3级;患者预后良好,NIHSS评分0分。结论SLIP/滑行技术在处理颅内外动脉急性串联闭塞合并近端不稳定血栓病变时,操作更为简洁快速、血栓逃逸概率更低、手术成功率更高。Objective To study the clinical application of embolization stent guided middle catheter passage technology(SLIP)in the treatment of acute tandem occlusion of intracranial and extracranial arteries with unstable proximal thrombosis.Methods From October to November 2020,the clinical data,surgical process,and treatment history of a patient with acute tandem occlusion of intracranial and extracranial arteries in Wudi County People's Hospital were retrospectively analyzed.Summarized the key operating points and technical advantages of this technology.Results The technique was used to quickly and successfully achieve recanalization of the occluded artery with mTICI grade 3.The prognosis of the patient was good,and the NIHSS score was 0.Conclusion SLIP/Sliding technique is more concise and quicker,lower thrombus escape probability,and higher surgical success rate when treating acute tandem occlusion of intracranial and extracranial arteries with unstable proximal thrombosis.

关 键 词：颅内外动脉急性串联闭塞 取栓支架 中间导管 

分 类 号：R741[医药卫生—神经病学与精神病学]