远端中型动脉闭塞性脑梗死机械取栓的研究进展  

Recent advance in mechanical thrombectomy for distal medium arterial occlusive cerebral infarction

作　　者：张立红 尹琳[1] Zhang Lihong;Yin Lin(Department of Neurology,Second Hospital Affiliated to Dalian Medical University,Dalian 116023,China)

机构地区：[1]大连医科大学附属第二医院神经内科,大连116023

出　　处：《中华神经医学杂志》2024年第3期296-303,共8页Chinese Journal of Neuromedicine

摘　　要：目前,远端中型动脉闭塞性脑梗死的发病率、致残致死率均较高,并且1/2~2/3的患者行单纯静脉溶栓不能获得良好的血管再通,同时动脉溶栓及机械取栓也尚缺乏高级别的推荐证据。不过,随着介入材料及技术的发展,机械取栓对于经过筛选的远端中型动脉闭塞性脑梗死患者或许会成为一种极具前景的治疗方式。本文现围绕近年来远端中型动脉闭塞性脑梗死机械取栓的研究进展进行综述,以期为临床上该病的治疗提供更多的参考借鉴。Distal medium arterial occlusive cerebral infarction has high incidence and high disability and mortality rates.At present,1/2-2/3 patients cannot benefit from intravenous thrombolysis alone;no high-level recommendations for arterial thrombolysis or mechanical thrombectomy are noted either.However,with the development of interventional materials and technologies,mechanical thrombectomy may be an effective treatment for selected distal medium arterial occlusive cerebral infarction patients.This article reviews the recent research progress of mechanical thrombectomy in distal medium occlusive cerebral infarction in order to guide its treatment.

关 键 词：远端中型动脉闭塞 脑梗死 机械取栓 

分 类 号：R743.33[医药卫生—神经病学与精神病学]