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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Intra-Arterial Treatment for Patients with Severe Acute Vertebrobasilar Occlusion: A Single-Center Retrospective Study
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Intra-Arterial Treatment for Patients with Severe Acute Vertebrobasilar Occlusion: A Single-Center Retrospective Study

机译:严重急性椎体闭塞患者的动脉内治疗:单中心回顾性研究

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Background Recently, favorable outcomes from several randomized controlled trials of rapid endovascular treatment for acute ischemic stroke has emerged. Objective The aim of this retrospective study is to present our clinical experience in severe acute vertebrobasilar occlusion (AVBO) using intra-arterial treatment (IAT). Methods Twenty patients with ischemic stroke in the vertebrobasilar circulation treated by IAT between March 2011 and December 2014 were included. We retrospectively assessed National Institutes of Health Stroke Scale (NIHSS) score on admission and at discharge, Thrombolysis in Cerebral Infarction (TICI) scale, and clinical outcome using modified Rankin scale (mRs) at 90 days, and causes of stroke were prospectively assessed. Results The mean NIHSS score on admission was 26.4?±?7.9 (range 9-33) points. The mean time from symptom onset to revascularization was 349.5?±?124.0 (range 201-579) minutes. Successful recanalization (TICI?≥2b) was achieved in 19 (95.0%) patients. The mean NIHSS score at discharge was 5.7?±?9.0 (range 0-30) points. A favorable clinical outcome (mRS?≤2) was observed in 12 (60.0%) patients at 90 days and mortality was 25.0% (n?=?5). Conclusion IAT for AVBO provides high rate of recanalization, favorable clinical outcome, and improved survival. ]]>
机译:背景技术最近,出现了几种随机对照试验的有利结果,急性缺血中风的快速血管内治疗。目的对这种回顾性研究的目的是在使用动脉内治疗(IAT)的严重急性椎体瘤闭塞(AVBO)的临床经验。方法包括IAT于2011年3月至2014年3月至2014年12月治疗的椎弓鼠血管血管血管患者的二十例患者。我们回顾性地评估了国家卫生卒中量表(NIHSS)评分入院和放电时,脑梗死(Tici)规模的溶栓,并在90天时使用改进的Rankin Scal(MRS)的临床结果,并进行了前瞻性地评估中风的原因。结果进入的平均NIHSS评分为26.4?±7.9(范围9-33)点。从症状发作到血运重建的平均时间为349.5?±124.0(范围201-579)分钟。成功的重新化(Tici?≥2b)在19名(95.0%)患者中获得。放电时的平均NIHSS得分为5.7?±9.0(范围0-30)点。在120天内在12例(60.0%)患者中观察到有利的临床结果(MRS?≤2),死亡率为25.0%(n?=?5)。结论AVBO的IAT提供了高再义率,有利的临床结果,提高了生存率。 ]]>

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