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在儿科动脉缺血性中风中进行非例行血栓切除术
Sinan Balcı1, Nesibe Gevher Eroğlu-Ertuğrul2, Ahmet Ziya Birbilen3
1Hacettepe University Faculty of Medicine, Department of Radiology, Ankara, Türkiye.
概括
对于儿科动脉缺血性中风 (AIS) 的机械血栓切除术通常需要非常规的技术. 专门的中心对于适应成人协议以有效治疗患有AIS的儿童至关重要.
科学领域:
- 儿科神经学 儿科神经学
- 干预性神经辐射学
- 血管神经学 血管神经学
背景情况:
- 对于儿科动脉缺血性中风 (AIS) 的机械血栓切除术的指示和技术尚未得到充分确立.
- 标准的成人协议可能需要修改,以有效的儿科AIS管理.
研究的目的:
- 目前有6例儿科动脉缺血性中风 (AIS) 患者接受非例行性机械血栓切除术治疗.
- 突出儿童AIS血栓切除术的独特的临床和程序方面.
主要方法:
- 2015-2023年间进行非例行血栓切除术的儿科AIS病例的回顾性审查.
- 评估患者的特征,程序细节和临床结果.
主要成果:
- 在6名儿童中进行了7次非例行血栓切除手术.
- 没有与手术相关的死亡率或主要神经病态发病率;随访时的Rankin尺度得分是有利的.
- 包括独特的病例,如急性支架封闭,双侧动脉和MCA封闭,以及心房髓瘤栓塞.
结论:
- 患有AIS的儿童的机械血栓切除术可能需要对标准成人算法进行修改.
- 专门的儿科中心是管理这些复杂病例的最佳选择.
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