颅内支撑导管联合Solitaire FR取栓支架技术治疗急性大脑中动脉闭塞脑梗死临床观察

Clinical observation of SWIM technology in the treatment of cerebral infarction patients with acute middle cerebral artery occlusion

目的分析颅内支撑导管联合Solitaire FR取栓支架(solitaire FR with intracranial support catheter for mechanical thrombectomy,SWIM)技术治疗急性大脑中动脉闭塞脑梗死的安全性、有效性。方法选取2019-05—2020-05湛江中心人民医院神经外二科收治的50例急性大脑中动脉闭塞脑梗死患者为研究对象,行SWIM技术取栓,回顾性分析其临床及影像学资料。结果50例患者血管再通率92.0%,其中血管完全再通40例,部分再通6例,未通4例。50例患者治疗后NIHSS评分(5.86±2.62)与治疗前(22.09±2.31)比较差异有统计学意义(P<0.05)。50例患者术后90 d mRS与术前比较,差异有统计学意义(t=4.01,P<0.05),其中术后mRS≤2者达60%。结论对急性大脑中动脉闭塞脑梗死患者采用SWIM技术治疗临床疗效良好,安全性高。

Objective To analyze the safety and effectiveness of SWIM in the treatment of cerebral infarction patients with acute middle cerebral artery occlusion.Methods The clinical and imaging data of 50 patients with acute middle cerebral artery oc⁃clusion who underwent SWIM thrombectomy from May 2019 to May 2020 were retrospectively analyzed.Results The recanalization rate of 50 cases was 92.0%,including 40 cases of complete recanalization,6 cases of partial recanalization and 4 cases of non recana⁃lization.The NIHSS score of 50 patients before treatment(22.09±2.31)was significantly different from that after treatment(5.86±2.62)(P<0.05).The mRS score of 50 patients before operation and 90 days after operation was 60%,and the difference was statistical⁃ly significant(t=4.01,P<0.05).Conclusion SWIM is effective and safe in the treatment of acute middle cerebral artery occlusion with cerebral infarction.