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Thrombectomy in acute vertebrobasilar occlusion: a single-centre experience.
Neuroradiology ( IF 2.4 ) Pub Date : 2020-02-13 , DOI: 10.1007/s00234-020-02376-1
Dong Hyuk Lee 1 , Seung Hwan Kim 1 , Hyungon Lee 1 , Su Bin Kim 1 , Dongah Lee 2 , Young Jin Heo 3 , Jin Wook Baek 3 , Hye Jin Kim 4 , Jung-Soo Kim 5 , Jung Hyun Park 6 , Hae Woong Jeong 3 , Hae Yu Kim 1 , Sung-Chul Jin 1
Affiliation  

PURPOSE Acute vertebrobasilar occlusion (VBO) has a grave clinical course; however, thrombectomy in VBO patients has rarely been reported. We retrospectively evaluated the clinical and radiological outcomes of thrombectomy in VBO patients. METHODS From March 2010 to December 2017, 38 patients with 40 acute VBOs underwent thrombectomy at our hospital. Thrombectomy was performed using catheter aspiration (n = 11, 26.8%) or a stent retriever (n = 29, 70.7%). RESULTS Good clinical outcomes (3-month modified Rankin scale (mRS) of 2 or lower) were achieved in 9 cases (22.5%), and successful recanalization (thrombolysis in cerebral infarction (TICI) grade of 2b or 3) was achieved in 35 cases (87.5%). Good clinical outcomes were significantly related to aetiologies other than atherosclerosis (p = 0.020) and lower National Institutes of Health Stroke Scale (NIHSS) scores on admission (p = 0.025). The clinical and radiological outcomes did not differ significantly between catheter aspiration and stent retriever thrombectomy (p = 1.000 and p = 0.603, respectively); however, stent retriever thrombectomy had a shorter procedure time than catheter aspiration (59.7 ± 31.2 vs. 84.5 ± 35.1 min, p = 0.037). CONCLUSION In our series, good clinical outcomes were associated with a lower NIHSS score on admission and stroke aetiologies other than atherosclerosis. The two thrombectomy modalities showed similar clinical and radiological outcomes. However, stent retrievers seemed to allow more rapid recanalization than catheter aspiration in VBO.

中文翻译:

急性椎基底动脉闭塞的血栓切除术:单中心经验。

目的急性椎基底动脉闭塞(VBO)具有严重的临床病程;但是,很少有关于VBO患者进行血栓切除术的报道。我们回顾性评估了VBO患者血栓切除术的临床和影像学结果。方法自2010年3月至2017年12月,我院收治38例40例急性VBO患者。使用导管抽吸术(n = 11,26.8%)或支架取出器(n = 29,70.7%)进行血栓切除术。结果9例(22.5%)取得了良好的临床效果(3个月改良兰金评分(mRS)为2或更低),并且35例获得了成功的再通(脑梗死溶栓(TICI)2b或3级)。例(87.5%)。良好的临床结果与动脉粥样硬化以外的其他病因显着相关(p = 0。020)以及入院时美国国立卫生研究院卒中量表(NIHSS)得分较低(p = 0.025)。导管抽吸术和支架取血器血栓切除术之间的临床和放射学结果无显着差异(分别为p = 1.000和p = 0.603)。然而,支架取回血栓切除术的时间比导管抽吸术的时间短(59.7±31.2 vs. 84.5±35.1 min,p = 0.037)。结论在我们的系列研究中,除了动脉粥样硬化以外,入院和中风病因学方面的NIHSS评分较低与良好的临床结果相关。两种血栓切除术的临床和放射学结果相似。但是,与VBO中的导管抽吸相比,支架取回器似乎允许更快的再通气。导管抽吸术和支架取血器血栓切除术之间的临床和放射学结果无显着差异(分别为p = 1.000和p = 0.603)。然而,支架取回血栓切除术的时间比导管抽吸术的时间短(59.7±31.2 vs. 84.5±35.1 min,p = 0.037)。结论在我们的系列研究中,除了动脉粥样硬化以外,在入院和中风病因学上,NIHSS评分较低与良好的临床结果相关。两种血栓切除术的临床和放射学结果相似。但是,与VBO中的导管抽吸相比,支架取回器似乎允许更快的再通气。导管抽吸术和支架取血器血栓切除术之间的临床和放射学结果无显着差异(分别为p = 1.000和p = 0.603)。然而,支架取回血栓切除术的时间比导管抽吸术的时间短(59.7±31.2 vs. 84.5±35.1 min,p = 0.037)。结论在我们的系列研究中,除了动脉粥样硬化以外,入院和中风病因学方面的NIHSS评分较低与良好的临床结果相关。两种血栓切除术的临床和放射学结果相似。但是,与VBO中的导管抽吸相比,支架取回器似乎允许更快的再通气。5±35.1分钟,p = 0.037)。结论在我们的系列研究中,除了动脉粥样硬化以外,入院和中风病因学方面的NIHSS评分较低与良好的临床结果相关。两种血栓切除术的临床和放射学结果相似。但是,与VBO中的导管抽吸相比,支架取回器似乎允许更快的再通气。5±35.1分钟,p = 0.037)。结论在我们的系列研究中,除了动脉粥样硬化以外,在入院和中风病因学上,NIHSS评分较低与良好的临床结果相关。两种血栓切除术的临床和放射学结果相似。但是,与VBO中的导管抽吸相比,支架取回器似乎允许更快的再通气。
更新日期:2020-02-13
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