急性缺血性脑卒中以抽吸作为首次取栓的技术研究进展  

Research progress of a direct aspiration as first-pass thrombectomy technique in acute ischemic stroke

作　　者：胡小辉[1] 苏峻峰[1] HU Xiao-hui;SU Jun-feng(Department of Neurology,Jingzhou Central Hospital,Jingzhou 434020,China)

机构地区：[1]荆州市中心医院神经内科,434020

出　　处：《临床神经病学杂志》2022年第4期307-310,共4页Journal of Clinical Neurology

基　　金：中国卒中学会脑血管病全程管理启航基金(2020017)。

摘　　要：以抽吸作为首次取栓的技术(ADAPT技术)是一种不劣于支架取栓的急性缺血性脑卒中血管内再通治疗技术。ADAPT技术因其安全、快速、简单、有效的血管内再通治疗模式,逐渐被国际神经介入医师所接纳,但国内神经介入医师对ADAPT技术的认识水平参差不齐。本文通过回顾ADAPT技术的发展历程、器械选择、抽吸要点、模式等方面的进展发现,ADAPT技术的疗效可能与支撑导管、抽吸导管或中间导管的选择有关,也与抽吸导管头端形态及血栓接触角、抽吸时间与方式、血管闭塞病因等有关。A direct aspiration as first-pass thrombectomy(ADAPT) confers non-inferior successful vascular recanalization and outcomes compared with stent retriever first-line thrombectomy.The ADAPT technique is a fast,safe,simple and effective method for vascular recanalization after acute ischemic stroke.It has been known by international neurointervention physicians gradually.However,domestic neurointerventional physicians have an uneven understanding of ADAPT technology.By reviewing the development history of ADAPT technology,the selection of ADAPT equipment,as well as the main points and the mode of suction,we found that the suction effect of ADAPT may be related to the selection of support catheters,suction catheters,or intermediate catheters,as well as related to the shape of the tip of the suction catheter,the thrombus contact angle,the suction time and method,the cause of occlusion,and so on.

关 键 词：急性缺血性脑梗死 血管内治疗 以抽吸作为首次取栓的技术 取栓装置 

分 类 号：R743.3[医药卫生—神经病学与精神病学]