超选择眼动脉插管局部溶栓治疗视网膜中央动脉阻塞

Superselective transcatheter thrombolysis for treatment of central retinal artery occlusion

目的 观察超选择眼动脉插管灌注尿激酶溶栓治疗视网膜中央动脉阻塞的疗效。方法 经股动脉或颈动脉插管 ,应用微导管技术将导管插入眼动脉局部溶栓治疗 12例中央动脉血栓形成致视力障碍患者。结果 治疗后 ,患者视力有不同程度提高 ,获得了比较满意的效果。结论 正确诊断 ,早期应用超选择局部溶栓、扩血管并尽可能应用较大剂量溶栓药物 。

Objective Intra-arterial administration of urokinase to the territory of the ophthalmic artery was performed in 12 patients with occlusion of the central retinal artery. Methods The thrombolysis was carried out with a microcatheter placed in the proximal part of the ophthalmic artery, for thrombolysis of the central ophthalmice arterial thrombosis covering impediment of visibility. Results All patients achieved improvment of visual acuity, continually with one month follow up.Conclusions Early diagnosis and early superselective trans-microcatheter thrombolytic infusion would be more effective than traditional treatment.