机械再通治疗基底动脉急性闭塞的疗效分析

Analysis of effect of mechanical recanalization for acute basilar artery occlusion

目的观察机械再通基底动脉急性闭塞的疗效,探讨机械再通基底动脉急性闭塞的可行性和安全性。方法回顾性分析近4年采用血管内机械再通治疗基底动脉急性闭塞7例患者的临床资料,观察术后即时效果和预后。结果 7例患者均实现机械再通。其中,3例患者因血管狭窄>50%行支架成形术,1例患者因血管狭窄<50%未行支架成形术,另3例有房颤病史患者无明显血管狭窄。出血死亡2例,植物存活1例,另4例恢复良好。5例存活者3月后mRS评分分别为1分1例,2分1例,3分2例,5分1例。结论机械再通治疗基底动脉急性闭塞成功率高,总体效果满意,是有效、安全的治疗方法。

Objective To observe the effect of mechanical recanalization of acute basilar artery occlusion and investigate the feasibility and safety of mechanical recanalization for acute basilar artery occlusion. Methods A retrospective analysis of clinical data of seven patients with acute basilar artery occlusion who have accepted mechanical recanalization in past 4 years, and analyze the postoperative immediate effect and prognosis. Results Seven patients have achieved mechanically opened, 3 patients wih stenosis 〉 50% have ac- cepted stent angioplasty. 1 case wih stenosis 〈 50% have not accepted stent angioplasty. 3 patients wih atrial fibrillation have no stenosis. 2 patients died of bleeding, 1 patient has plant survival and another 4 patients have good recovery. MRS scores of 5 survivors respectively 3 months later： 1 point in 1 case, 2 points in 1 case, 3 points in 2 cases, 5 points in 1 case. Conclusions Mechanical recanalization of acute basilar artery occlusion has a high success rate, overall results were satisfactory and is an effective and reliable treatment for acute basilar artery occlusion.