Solitaire AB支架取栓治疗在急性脑动脉闭塞性脑梗死中的应用分析

Application analysis of mechanical thrombectomy with Solitaire AB stent in the treatment of acute cerebralartery occlusiont cerebral artery occlusiont cerebral infarction

目的探讨Solitaire AB支架用于急性脑动脉闭塞取栓的临床效果。方法选取本院和南京市第一医院2011年1月至2016年12月收治的急性脑动脉闭塞患者70例,均采用Solitaire AB支架进行取栓治疗,分析患者的临床资料,评价其疗效及预后。结果所有患者取栓成功,闭塞的脑动脉全部或部分再通,术后未出现血管夹层、脑内出血和穿刺部位血肿等操作导致的并发症。术后1w及3个月时患者NIHSS评分均低于术前,差异均有统计学意义(P<0.05)。术后3个月时,70例患者平均改良Rankin(mRS)评分(0.6±0.2)分,其中预后良好(≤2分)67例(95.7%)。术后1年经磁共振血管成像(MRA)复查无开通血管再闭塞情况发生。结论 Solitaire AB支架用于脑动脉闭塞导致的急性脑卒中安全有效,但要严格把握手术适应证。

Objective To explore the clinical effect of mechanical thrombectomy with Solitaire AB stent in the treatment of acute cerebral artery occlusion. Method 70 cases of patients with acute cerebral artery occlusion treated in our hospital and the first hospital of Nanjing from Jan.2011 to Dec.2016 were selected. They were treated with Solitaire AB stent for mechanical thrombeetomy. The clinical data was analyzed retrospectively. Results All patients were operated successfully, and there was no severe complication. The NIHSS scores 1 week and 3 months after operations were lower than that operations before （ P〈0.05 ） . In 3 months after operations, the average modified rankin scale was （ 0.6 ± 0.2 ） , and there were sixty-seven cases （ 95.7% ） in good prognosis. 1 year after operations, there was no re-occlusion situation. Condusion It is safe and effective of mechanical thrombectomy with Solitaire AB stent in the treatment of acute cerebral artery occlusion. However, we must strictly grasp the indications of operation.