急性缺血性卒中大血管闭塞性质的判断与取栓方式和材料的选择

Judgment of Nature of Large Vessel Occlusion and Selection of Methods and Materials for Thrombectomy in Acute Ischemic Stroke

血管内机械取栓是治疗大血管闭塞性急性缺血性卒中的有效治疗方法。应结合病史、发病形式及影像学检查等综合判断病变性质;依据病变性质并参考手术路径,个性化选择支架取栓、抽吸取栓、球囊/支架血管成形术、动脉溶栓任一种或多种方法联合取栓;并依据手术方式选择手术材料,以快速高效地完成手术。

Endovascular thrombectomy is an effective treatment method for the treatment of acute ischemic stroke due to large vessel occlusion.The nature of the lesions should be judged comprehensively according to the history,form of onset and imaging examination;one or more methods of stent thrombectomy,aspiration thrombectomy,balloon/stent angioplasty,and arterial thrombolysis can be selected,according to the lesions nature and the operation path.Based on the operation way,the surgery materials are selected so as to complete the operation quickly and efficiently.