单个中心使用3毫米特雷沃支架检索器在中等血管封闭血栓切除术中的经验
Christopher H Zhao1, Manisha Koneru1, James E Siegler1,2
1Cooper Medical School of Rowan University, Camden, NJ, USA.
概括
3毫米Trevo NXT支架取回器是安全有效的急性缺血性中风引起的中等血管封闭. 这种内血管机械血栓切除装置在最近的一项研究中实现了高回通率与低并发症率.
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
- 心血管干预 心血管干预
背景情况:
- 从中等血管封闭 (MVO) 引起的急性缺血性中风受益于内血管机械血栓切除术 (EMT).
- 在EMT设备的进步改善了狭窄的大脑血管系统的导航.
- 3毫米Trevo NXT支架取回器是EMT的一种新型设备.
研究的目的:
- 评估3毫米Trevo NXT支架恢复器在MVO患者中对EMT的安全性和有效性.
- 评估与3毫米Trevo NXT.相关的再通道化率,临床结果和并发症率.
主要方法:
- 44名急性缺血性中风患者的回顾性审查,这些患者使用3毫米Trevo NXT (2018-2022) 接受MVO的EMT.
- 分析疗效 (修改的TICI,穿刺到再血管化的时间),临床 (NIHSS) 和程序并发症的结果.
- 3毫米的Trevo NXT被用作主要设备或救援疗法.
主要成果:
- 在72.4%的第一次通道尝试和60.0%的救援尝试中,成功实现了再通道化 (mTICI ≥ 2B).
- 急性并发症发生在只有2.4%的病例中.
- 干预后24小时,NIHSS中位数从15降至12分.
结论:
- 使用3毫米Trevo NXT的内血管机械血栓切除术是一种安全有效的MVO治疗方法.
- 3毫米Trevo NXT在成功实现重血管化方面表现出显著的实用性.
- 进一步的多中心研究是有必要的,以探索用于MVO治疗的新型支架检索器.
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