急性缺血性脑卒中抽吸取栓的研究进展  

Research progress of thrombectomy in acute ischemic stroke

作　　者：谈世东 韦涛 王磊[1] 李俊[1] 陈宗胜 费世早 TAN Shidong;WEI Tao;WANG Lei;LI Jun;CHEN Zongsheng;FEI Shizao(Wuhu Hospital,East China Normal University,Wuhu 241000,China)

机构地区：[1]华东师范大学附属芜湖医院,安徽芜湖241000

出　　处：《中国实用神经疾病杂志》2022年第8期1051-1056,共6页Chinese Journal of Practical Nervous Diseases

基　　金：芜湖市科技惠民计划(编号:2016hm18)。

摘　　要：急性缺血性卒中(Acute Ischemic Stroke,AIS)是世界范围内导致死亡和严重残疾的重要疾病之一,其中AIS占脑卒中大多数,AIS呈现高病死率及高致残率,因此AIS患者的早期治疗显得尤为重要。AIS治疗的关键是急性闭塞动脉的开通及挽救半暗带;血管内治疗是AIS早期救治最核心救治方法,主要以抽吸技术及机械支架取栓为主,目前血管内治疗的标准方案是以支架取栓为主的血栓切除术,而抽吸取栓也实现了良好的血管造影和临床结果,具有快速再通及费用低等优点,直接血栓抽吸技术在AIS急诊取栓中与支架取栓并驾齐驱的主流开通技术,然而抽栓导管在管腔及通过性都还有限度,以及无法适应众多AIS患者的个体差异等缺点,目前抽吸装置的相关研究也越来越多,抽吸取栓发展趋势越来越快,本文就抽吸取栓在AIS患者血管内治疗中最新研究进展进行综述。Acute ischemic stroke(AIS)is one of the important diseases leading to death and severe disabil⁃ity worldwide,among which AIS accounts for the majority of strokes,and AIS presents a high fatality rate and high disability rate.Early treatment is particularly important.The key to the treatment of AIS is the opening of the acutely occluded artery and the rescue of the penumbra;endovascular treatment is the core treatment method for the early treatment of AIS,mainly based on suction technology and mechanical stent thrombectomy.Stent throm⁃bectomy is mainly used for thrombectomy,and thrombectomy also achieves good angiographic and clinical results,and has the advantages of rapid recanalization and low cost.However,the thrombectomy catheter has limitations in lumen and passability,and cannot adapt to the individual differences of many AIS patients.At present,there are more and more related researches on suction devices,and the development of suction thrombectomy The trend is getting faster and faster.This article reviews the latest research progress in the endovascular treatment of pa⁃tients with acute ischemic stroke.

关 键 词：急性缺血性卒中 抽吸取栓 支架取栓 

分 类 号：R743.3[医药卫生—神经病学与精神病学]