用小直径支架检索器进行小动脉阻塞的血栓切除术,Tron Fx 2 mm × 15 mm:一个案例系列
Keiko Kitazawa1, Yasushi Ito1, Miyako Koyama1
1Department of Neurosurgery, Shinrakuen Hospital, Niigata, Niigata, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
该Tron Fx 2毫米装置显示,它有望安全治疗小动脉封闭,并可能扩大中风患者的血栓切除术选择.
科学领域:
- 神经学 神经学
- 干预性神经辐射学
- 血管外科 血管外科
背景情况:
- 对于小动脉封闭的血栓切除术的疗效仍在争论中.
- 2019年4月,Tron Fx支架检索器 (直径2毫米) 在日本被批准退还.
研究的目的:
- 评估Tron Fx 2毫米装置在治疗小动脉阻塞方面的安全性和有效性.
- 评估临床结果,包括再道化率和并发症.
主要方法:
- 在2019年7月至2020年6月期间,使用Tron Fx 2毫米装置进行了小动脉封闭血栓切除术的7名患者的回顾性分析.
- 评估再通道化 (脑梗塞中血栓溶解 - TICI评分) 和并发症.
主要成果:
- 在7名患者中,有6名患者成功实现了再通道化 (TICI 2b-3).
- 在六名符合条件的患者中,有五名患者表现出症状改善.
- 没有报告有症状的内出血.
结论:
- 在小动脉封闭的情况下,Tron Fx 2 mm 装置是进行血栓切除术的安全选择.
- 这种装置可能会扩大血栓切除术的适用性,以挑战小动脉封闭.
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