抽吸取栓与支架取栓在急性缺血性卒中治疗中的研究进展

Advance in Aspiration Thrombectomy and Stent-retriever Thrombectomy for Acute Ischemic Stroke

急性缺血性卒中血管内治疗是静脉溶栓后又一血管再通疗法,一线治疗技术为支架取栓,抽吸取栓是相对支架取栓的另一种技术。文章对抽吸取栓与支架取栓在急性缺血性卒中患者血管内治疗中的疗效进行综述。急性缺血性卒中血管内治疗目前仍以支架取栓作为一线技术,作为补充技术的抽吸取栓从股动脉穿刺到再灌注的时间较短,未来研究可能更着重于按特定部位或病因采取不同的取栓技术。

Stent thrombectomy is the preferred way in endovascular treatment(EVT)for acute ischemic stroke(AIS)recommended by current guidelines.Aspiration thrombectomy is another EVT technology widely applied in acute reperfusion therapy after stent-retriever thrombectomy.This article reviewed the advance in effect analysis of two technologies for AIS.Now stent thrombectomy is still the first-line technology in stroke EVT,with aspiration thrombectomy as a supplementary therapy.Some studies indicated that aspiration thrombectomy had some particular advantages such as the puncture-to-reperfusion time was much more relatively shorter.Future research will focus on the EVT technology selection according to stroke etiology and the location of vessel occlusion.