机械性取栓、药物溶栓及支架技术联合治疗急性颅内血管闭塞的疗效分析

摘要

目的 分析机械取栓、药物溶栓及支架取栓技术治疗急性颅内血管闭塞的疗效.方法 对27例急性颅内血管闭塞的患者进行腔内介入治疗.其中男性21例,女性6例.术后随访90 d,应用改良Rankin评分(mRS)进行疗效评价.结果 应用支架取栓器23例,支架结合抽吸技术3例,动脉溶栓1例.腔内治疗后即刻再通率67%,症状性脑出血11%,90 d随访预后良好率33%,死亡率18.5%.结论 特定急性缺血性脑血管病的腔内介入治疗是安全有效的方法.%Objective To analyze the efficacy of endovascular treatment of acute ischemic stroke with combined mechanical thrombectomy, intra-arterial thrombolysis and stenting.Methods 27 patients with acute ischemic stroke with intracranial large-vessel occlusion received endovascular treatment.Modified Rankin score was used for independence evaluation 90 days.Results Among them, 23 were treated with stent retriever, 3 with stenting combined with aspiration, 1 with intra-arterial thrombolysis.Immediate successful recanalization rate was 67%, symptomatic intracranial hemorrhage rate 11%.Good clinical outcome was achieved in 33%, and mortality after 90 days was 18.5%.Conclusion Endovascular treatment for selected patients with acute ischemic stroke is safe and effective.