首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Acute Stroke Patients Treated with Stent Retrievers in Carotid 'T' Occlusions Have Improved Recanalization and Outcome
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Acute Stroke Patients Treated with Stent Retrievers in Carotid 'T' Occlusions Have Improved Recanalization and Outcome

机译:在支架“ T”型阻塞中使用支架检索器治疗的急性卒中患者的再通和结局得到改善

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Background: Recanalization rates and patient outcomes in acute occlusion of the carotid terminus have previously been poor. The use of stent-retrievers has resulted in better recanalization and patient outcomes. We sought to compare outcomes in patients' treated with stent-retrievers to outcomes in older techniques. Methods: We retrospectively compared a stent-retriever cohort to a historical cohort. We evaluated recanalization rates and good outcomes (defined as mRS < 2 at 30 days or 10 point drop in NIHSS). Results: There were twenty patients treated with stent-retrievers versus nine without. The recanalization rate in patients treated with stent retrievers was significantly higher than that of other modalities (90% vs 33%, p=0.004). Good outcomes were significantly higher in the stein retriever cohort (70% vs 22%, p=0.041). Conclusion: The use of stent-retrievers in patients with carotid "T" occlusions shows promise in comparison to older techniques. A randomized trial comparing stent-retriever therapy to IV thrombolysis is warranted to determine the efficacy of this new generation of devices.
机译:背景:急性阻塞颈总动脉的再通率和患者预后较差。支架取血的使用已导致更好的再通和患者预后。我们试图将接受支架置入术的患者的治疗结果与较旧技术的治疗结果进行比较。方法:我们回顾性地比较了支架检索器队列与历史队列。我们评估了再通率和良好的预后(定义为30天时mRS <2或NIHSS下降10点)。结果:有20例患者接受了支架-架术,而9例没有进行支架stent架术。经支架取出器治疗的患者的再通率显着高于其他方式(90%vs 33%,p = 0.004)。 stein检索者队列中的良好结果显着更高(70%比22%,p = 0.041)。结论:与较老的技术相比,在颈动脉“ T”型闭塞患者中使用支架取材术显示出了希望。比较支架-支架疗法与静脉溶栓治疗的随机试验是确定这种新一代装置疗效的保证。

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