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首页> 外文期刊>Acta Neurochirurgica >The combined use of mechanical thrombectomy devices is feasible for treating acute carotid terminus occlusion
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The combined use of mechanical thrombectomy devices is feasible for treating acute carotid terminus occlusion

机译：结合使用机械血栓切除术设备可治疗急性颈总动脉闭塞

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Background: Mechanical thrombectomy devices have recently been developed and approved for recanalization of intracranial arterial occlusion. Here, we investigated the feasibility of combined stent-assisted and clot aspiration mechanical thrombectomy for effective recanalization of acute carotid terminus occlusion (CTO). Methods: Ten consecutive patients with acute ischemic stroke secondary to CTO who underwent intra-arterial (IA) treatment with both stent retrieval and negative-pressured clot aspiration systems were enrolled. Periprocedural and radiologic findings and clinical outcomes were evaluated. Results: The median age was 69 years (range, 47-86 years), and the median initial NIHSS score was 17.5 (range, 12-33). Mechanical thrombectomy was performed using a combination of the Solitaire stents and Penumbra system. Thrombolysis in cerebral ischemia [TICI] grade II-III was achieved in eight patients (80.0 %); complete recanalization of the CTO (TICI III) was achieved in three of those patients. Any type of intracranial hemorrhages occurred in four patients (40.0 %), but parenchymal hematoma type 2 was not observed. Four patients died within 3 months (40.0 %). Conclusions: Combined mechanical thrombectomy treatment was effective for recanalization of acute CTO. The combination of Solitaire and Penumbra devices can be considered as a treatment option for CTO.
机译：背景：机械血栓切除术设备最近已经开发出来，并被批准用于颅内动脉闭塞再通。在这里，我们研究了结合支架辅助和凝块抽吸机械血栓切除术对急性颈总动脉闭塞（CTO）的有效再通的可行性。方法：纳入10例CTO继发的急性缺血性卒中患者，这些患者均接受了动脉内（IA）治疗，同时进行了支架取出和负压凝块抽吸系统。评估了围手术期和放射学发现以及临床结果。结果：中位年龄为69岁（范围47-86岁），中位NIHSS初始得分为17.5（范围12-33）。机械性血栓切除术是使用Solitaire支架和Penumbra系统的组合进行的。八名患者（80.0％）达到了脑缺血（TICI）II-III级溶栓;其中三名患者实现了CTO的完全再通（TICI III）。四名患者发生了任何类型的颅内出血（40.0％），但未观察到2型实质性血肿。 3个月内有4例患者死亡（40.0％）。结论：联合机械血栓切除术治疗急性CTO再通有效。 Solitaire和Penumbra器械的组合可以视为CTO的治疗选择。

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