改进了吸收血栓切除术的导管输送,使用了Tenzing 7杆减小导管和FreeClimb 70的导管
Fabio Settecase1,2, Warren T Kim1,2, Thinesh Sivapatham3
1Neurointerventional Surgery, California Pacific Medical Center, San Francisco, CA, USA.
概括
坦辛7输送导管和FreeClimb 70导管使大血管封闭的有效吸血血栓切除术成为可能. 这种组合在没有程序并发症的情况下实现了高的再输血率,改善了患者在中风护理中的治疗结果.
科学领域:
- 神经学 神经学
- 干预性神经放射学 干预性神经放射学
- 医疗器械 医疗器械
背景情况:
- 机械血栓切除术是急性缺血性中风的关键治疗方法,其原因是大血管封闭 (LVOs).
- 之前的试验发现,从志向到支架取回技术的交叉率很高,这表明需要改进的输送系统.
- 专门的输送导管可以增强大孔吸入导管对内阻塞的跟踪.
研究的目的:
- 评估使用FreeClimb 70吸入导管与Tenzing 7输送导管用于内LVOs的多中心经验.
- 评估这种组合的安全性和有效性,以实现成功的再注射.
主要方法:
- 对接受机械血栓切除术的患者进行了临床,程序和成像数据的回顾性审查.
- 该研究的重点是使用FreeClimb 70和Tenzing 7输送导管系统的病例.
- 数据分析包括成功的分娩,时间指标,第一次通过效应,反率和并发症.
主要成果:
- 在使用Tenzing 7的30名患者中,FreeClimb 70成功地在100%的患者中实现了目标遮.
- 在53%的病例中,首次通过效应得到了实现 (61%的M1闭塞).
- 在97%的病例中,重输成功 (≥2B),中位数为1次;没有过程并发症或症状性内出血发生.
结论:
- 定7输送导管为FreeClimb 70吸入导管提供可靠的接入.
- 这种组合使得LVO的吸收血栓切除术快速,有效和安全.
- 最初的数据表明,这种系统是中风干预的宝贵工具.
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