摘要
急性大血管闭塞性脑梗死的血管内介入治疗已经成为主要治疗手段。近年来,除支架取栓外,抽吸取栓的应用也越发普遍。抽吸取栓与支架取栓的物理原理不同,通过再灌注导管与血栓接触,再利用抽吸产生的负压来捕获血栓,从而实现脑血管的再通。目前,越来越多的研究支持抽吸取栓的应用。抽吸取栓与支架取栓相比优劣如何,如何合理地运用抽吸技术,是介入医师关注的热点问题。该文综述了抽吸取栓的技术应用以及研究进展,旨在为临床治疗决策提供参考意见。
Endovascular treatment for acute ischemic stroke has become the main therapy for large vessel occlusion.In addition to stent thrombectomy,in recent years,the application of aspiration thrombectomy is becoming more and more common.The physical principles of aspiration and stent thrombectomy extraction are different.The thrombus is captured by the negative pressure generated by suction through the contact between the reperfusion catheter and the thrombus,thus achieving cerebrovascular recanalization.Currently,more and more researches support the application of aspiration thrombectomy.What are the advantages and disadvantages of the aspiration thrombectomy compared with the stent thrombectomy and how to apply the aspiration technology reasonably are the hot issues concerned by everyone.This paper reviews the application and research progress of aspirating thrombectomy in order to provide reference for clinical treatment decisions.
作者
廖嘉川
吴波
LIAO Jiachuan;WU Bo(Department of Neurology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)
出处
《华西医学》
CAS
2022年第6期921-925,共5页
West China Medical Journal
基金
四川省科学技术厅科技计划项目(2019YJ0037)。
