Solitaire AB支架取栓术治疗急性基底动脉闭塞8例报告

Mechanical Thrombectomy with the Solitaire AB device in Acute Basilar Artery Occlusion:a report of 8 cases

目的探讨Solitaire AB型支架用于急性基底动脉闭塞动脉内取栓的疗效及安全性。方法回顾性分析我院2014年12月～2015年3月8例采用Solitaire AB型支架行急性基底动脉闭塞取栓术患者的临床资料。比较患者治疗前后美国国立卫生研究院卒中量表（NIHSS）评分及术后90 d mRs评分,评估患者预后状况。结果患者入院时NIHSS评分平均（20±3.3）分;6例患者成功再通,术后NIHSS评分改善≥14分,90 d随访临床结局优良;2例部分再通,术后发生出血转化且死亡。结论对急性基底动脉栓塞的患者,使用Solitaire AB型支架取栓术是相对安全、有效的。

Objective To explore and evaluate the efficacy and safety of mechanical thrombectomy with the Solitaire AB Revascularization Device in patients with acute basilar artery occlusion.Methods Eight patients with acute basilar artery occlusion were treated with using Solitaire AB stent retrievers between December 2014 and March 2015.Neurologic status was evaluated before and after treatment according to the National Institutes of Health Stroke Scale（NIHSS）,and mRs90 days after stent placement.Results Median NIHSS score on admission was（20 ± 3.3） 。Successful recanalization was achieved in six patients,NIHSS improvement ≥14 points was reached in six patients.six patients had a favorable clinical outcome（mRS≤2）.Hemorrhagic transformation occurred in two patients,and the two patients died.Conclusions Mechanical thrombectomy with the Solitaire AB stent in acute basilar artecr occlusion is relatively safe and effective