颅内支撑导管辅助Solitaire FR支架机械血栓切除术治疗进展性脑静脉窦血栓形成  

Solitaire FR with intracranial support catheter for mechanical thrombectomy in patients with progressive cerebral venous sinus thrombosis

作　　者：彭慧渊 王小军 杨楠 吴宗艺 林铎 吴健恒 成峰 Peng Huiyuan;Wang Xiaojun;Yang Nan;Wu Zongyi;Lin Duo;Wu Jianheng;Cheng Feng(Department of Neurology,Zhongshan Hospital of Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine(Zhongshan Hospital of Chinese Medicine),Zhongshan 528400,China)

机构地区：[1]广州中医药大学附属中山中医院(中山市中医院)神经内科,中山528400

出　　处：《国际脑血管病杂志》2023年第10期744-749,共6页International Journal of Cerebrovascular Diseases

基　　金：国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2015296);中山市社会公益与基础研究项目(2021B1065);广东省中医药重点学科建设项目(粤中医办函[2021]129号)。

摘　　要：目的探讨颅内支撑导管辅助Solitaire支架机械血栓切除(Solitaire FR with intracranial support catheter for mechanical thrombectomy, SWIM)技术治疗脑静脉窦血栓形成(cerebral venous sinus thrombosis, CVST)的安全性和有效性。方法回顾性纳入2019年6月至2022年3月期间在广州中医药大学附属中山中医院神经内科采用SWIM技术治疗的进展性CVST患者(其中4例合并颅内出血)。术后及随访时观察静脉窦再通情况, 采用改良Rankin量表(modified Rankin Scale, mRS)评价术后3个月时的转归。结果共有9例进展性CVST患者采用SWIM技术治疗, 男性6例, 中位年龄37.0岁(范围:15~78岁)。术后即刻造影显示, 6例静脉窦完全再通, 3例部分再通。术后3个月时mRS评分显示, 0分3例, 1分3例, 2分2例, 4分1例。结论 SWIM技术可能是治疗进展性CVST的安全且有效的方法。Objective To investigate the safety and effectiveness of Solitaire FR with intracranial support catheter for mechanical thrombectomy(SWIM)in the treatment of cerebral venous sinus thrombosis(CVST).Methods Patients with progressive CVST treated with SWIM technology in the Neurology Department,Zhongshan Hospital of Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine from June 2019 to March 2022(including 4 patients with intracranial hemorrhage)were retrospectively included.The venous sinus recanalization after procedure and during follow-up was observed.The modified Rankin Scale(mRS)was used to evaluate the outcome at 3 months after procedure.Results A total of 9 patients with progressive CVST were treated with SWIM technology,including 6 males with a median age of 37.0 years(range,15-78).Immediately post-procedural angiography showed complete recanalization of the venous sinuses in 6 cases and partial recanalization in 3 cases.At 3 months after procedure,the mRS score showed that 3 cases was 0,3 cases was 1,2 cases was 2,and 1 case was 4.Conclusion SWIM technology may be a safe and effective method in the treatment of progressive CVST.

关 键 词：窦血栓形成 颅内 血管内手术 血栓切除术 治疗结果 

分 类 号：R651.12[医药卫生—外科学]