导管抽吸技术在静脉窦血栓中疗效分析  

Effect analysis of catheter aspiration technique in venous sinus thrombosis

作　　者：白志峰[1] 张士永[1] 汪晶[1] 莫大鹏 BAI Zhifeng;ZHANG Shiyong;WANG Jing;MO Dapeng(Department of Neurointerventional,Fengtai You'anmen Hospital,Beijing 100069,China;Department of Neurointerventional,Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]北京丰台右安门医院神经介入科,北京100069 [2]首都医科大学附属天坛医院神经介入科,北京100070

出　　处：《实用放射学杂志》2023年第9期1506-1509,共4页Journal of Practical Radiology

摘　　要：目的 探讨导管抽吸技术在颅内静脉窦血栓介入治疗中的有效性和安全性.方法 回顾性选取 11 例静脉窦血栓患者,抗凝治疗症状加重或未见减轻,其中 7 例应用导管抽吸,4 例应用支架取栓.术后进行 6 个月~2 年随访,分析导管抽吸技术疗效.结果 11 例患者中单纯上矢状窦血栓 2 例,上矢状窦+一侧横窦、乙状窦 3 例,上矢状窦+双侧横窦、乙状窦 6 例.吸栓组中 6 例单纯导管抽吸获得再通,1 例抽吸后横窦有狭窄行球囊扩张+支架成形术.支架取栓组中 3 例获得再通,1 例取栓后横窦狭窄行球囊扩张+支架成形术.随访 6 个月~2 年,均进行电话随访,磁共振静脉造影(MRV)随访 9 例,数字减影血管造影(DSA)随访 2 例.均无复发.结论 导管抽吸与支架取栓相比,术中再通率、手术时间、术中并发症及良好预后率无统计学差异.单纯抽吸操作方法相对简单,部分患者需要配合球囊扩张及支架植入术.Objective To analyze the efficacy and safety of catheter aspiration technique in the interventional treatment of intracra-nial venous sinus thrombosis.Methods A total of 1l patients with venous sinus thrombosis were retrospectively selected.The symptoms were aggravated or not alleviated after anticoagulant treatment.Among them,7 patients were treated with catheter aspira-tion and 4 patients were treated with stent thrombectomy.The patients were followed up for 6 months to 2 years to analyze the effi-cacy of catheter aspiration.Results Among the 1l patients,2 patients had superior sagittal sinus thrombosis,3 patients had superior sagittal sinus with unilateral transverse sinus or sigmoid sinus thrombosis,and 6 patients had superior sagittal sinus with bilateral transverse sinus or sigmoid sinus thrombosis.In the thrombus aspiration group,6 patients were recanalized by simple catheter suc-tion,and 1 patient had stenosis of transverse sinus after suction,and then underwent balloon dilatation and stent implantation.In the stent thrombectomy group,3 patients were recanalized,and 1 patient with transverse sinus stenosis underwent balloon dilatation and stent implantation.All patients were followed up by telephone from 6 months to 2 years.9 cases were followed up by magnetic reso-nance venography(MRV)and 2 cases by digital subtraction angiography(DSA).All of them were no recurrence.Conclusion There are no statistically significant differences in the rates of recanalization,operative time,intraoperative complications,and good out-come between catheter aspiration and stent thrombectomy.The operation method of aspiration alone is relatively easy to perform,and some patients need to cooperate with balloon dilatation and stenting.

关 键 词：静脉窦血栓 血管内治疗 导管抽吸 

分 类 号：R743[医药卫生—神经病学与精神病学] R815[医药卫生—临床医学]