摘要
急性缺血性卒中已经成为我国第一大致残、致死性疾病。随着以荷兰血管内治疗急性缺血性卒中多中心随机临床试验为代表的五大试验结果公布,机械取栓已经成为治疗颅内大血管闭塞引起的急性缺血性脑卒中的主要手段,迎来了急性脑梗死机械取栓治疗的新时代。目前机械取栓的主要装置有Merci取栓装置、Penumbra吸栓装置、Solitaire™FR支架、Revive SE支架、Trevo支架和Aperio®支架等,针对血管栓塞部位及血管条件要选择不同类型的取栓装置,同时采用不同的取栓技术,比如ADAPT技术、Solumbra技术、Advance技术、SAVE技术、SWIM技术等,才能提高血管再通率,降低并发症。
The acute ischemic stroke has become the first major disability and death disease in China.With the release of the results of five trials represented by the Dutch multicenter randomized clinical trials of intravascular treatment of acute ischemic stroke,mechanical thrombectomy has become the main means to treat the acute ischemic stroke caused by the occlusion of large intracranial vessels,ushering in a new era of mechanical thrombectomy for acute cerebral infarction.At present,the main devices of mechanical thrombectomy are Merci thrombectomy device,penumbra thrombectomy device,solitairetm fr stent,revive se stent,trevo stent and aperio®stent.According to the location and conditions of vascular embolism,different types of thrombectomy devices should be selected,and different thrombectomy technologies,such as adapt technology,solumbra Technology,advance technology,save technology,swim technology,etc So as to improve the recanalization rate and reduce complications.
作者
朱青峰
朱义霞
孙奇
王国芳
Zhu Qingfeng;Zhu;Yixia;Sun Qi;Wang Guofang(Department of Neurosurgery,the 985th Hospital of PLA,Taiyuan 030001,China)
出处
《中国综合临床》
2020年第1期87-91,共5页
Clinical Medicine of China
基金
山西省重点研发计划项目(社会发展方面)(20120313018-2,20130313015-10,201603D321061)。
关键词
急性缺血性卒中
机械取栓
装置
技术
Acute ischemic stroke
Mechanical thrombectomy
Devices
Technology
