急性缺血性卒中取栓失败后行可回收支架内球囊扩张技术的疗效分析
Efficacy analysis of balloon post-dilatation retrievable stent technology following failed thrombectomy in acute ischemic stroke
陈华炜 1钱辉 1顾志伟 1宋大刚 1陈锷峰 1孙陈军 1夏家杰 1杨志浩1
作者信息
- 1. 312000 绍兴,浙江省绍兴市中心医院
- 折叠
摘要
目的 探讨应用可回收支架内球囊扩张技术对急性缺血性卒中取栓失败患者的疗效.方法 回顾性分析 2020 年 10 月至2023 年 12 月在绍兴市中心医院符合纳入、排除标准的急性缺血性卒中取栓失败患者的病例资料,对照组接受非可回收支架植入治疗,试验组采用可回收支架内球囊扩张技术治疗,并评估血管再通情况、手术费用和预后情况等.结果 共纳入 30 例患者,对照组 13 例,试验组 17例,两组改良脑梗死溶栓分级、术后 90d改良Rankin评分量表等无明显差异,试验组显著缩短了血管再通时间(P＜0.001)、减少了手术耗材费用(P＜0.001).结论 可回收支架经球囊扩张后再植入可作为急性大血管闭塞性缺血性卒中患者取栓失败后的补救治疗措施,具有良好的安全性和有效性,而且能缩减血管再通时间和手术耗材费用.
Abstract
Objective To investigate the efficacy of balloon post-dilatation retrievable stent technology in patients with acute ischemic stroke who have failed thrombectomy.Methods A retrospective analysis was conducted on the data of patients with acute ischemic stroke who failed thrombectomy and met the inclusion and exclusion criteria in our hospital from October 2020 to December 2023.The control group received non-re-trievable stent implantation,while the experimental group underwent balloon-expandable retrievable stent technology.Vascular recanalization,surgical costs,and prognosis were evaluated.Results A total of 30 patients were included,with 13 in the control group and 17 in the experimental group.There were no significant differences in modified Thrombolysis in Cerebral Infarction(mTICI)scores and modified Rankin Scale(mRS)scores at 90 days post-operation between the two groups.However,the experimental group significantly shortened the time to vascular recanalization(P<0.001)and reduced surgical consumable costs(P<0.001).Conclusion Balloon post-dilatation retrievable stent implantation can be used as a remedial treat-ment for patients with acute large vessel occlusive ischemic stroke who have failed thrombectomy.It demonstrates good safety and efficacy,and can reduce the time to vascular recanalization and surgical consumable costs.
关键词
缺血性卒中/可回收支架内球囊扩张技术/取栓/大血管闭塞Key words
Ischemic stroke/Balloon-expandable retrievable stent technology/Thrombectomy/Large vessel occlusion引用本文复制引用
基金项目
绍兴市柯桥区2022年社会发展类经费自筹科技计划项目(2022KZ36)
出版年
2024
NETL
NSTL
万方数据