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临床比较吸收到M2封闭的stentriever介导吸收血栓切除的临床比较
Gregory Varga1, Li Ma1, Bradley A Gross1
1Department of Neurological Surgery, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
概括
手动吸血栓切除术 (MAT) 和用于M2封闭的支架介导吸血栓切除术 (SMAT) 显示出相似的反射率. 然而,SMAT与更多的并发症有关,这表明MAT可能是首选的初始方法.
科学领域:
- 神经内血管治疗是一种神经内血管治疗.
- 脑血管疾病管理的管理
背景情况:
- 建议对M2闭塞进行重血管化,但最优的血栓切除方法仍在争论中.
- 单独手动吸血栓切除术 (MAT) 和支架犬介导吸血栓切除术 (SMAT) 是主要的方法.
研究的目的:
- 为了比较M2闭塞的MAT和SMAT之间的疗效和安全结果.
- 评估再输血率,功能结果和并发症率.
主要方法:
- 单个手术者,对103名患有M2闭塞的患者进行了回顾性研究.
- 通过第一通方法分层:MAT与SMAT.
- 疗效结果:良好的再输液 (mTICI ≥2b) 和有利的90天功能结果 (mRS ≤2).
- 安全结果:90天死亡率和症状性内出血.
主要成果:
- 良好的再输血是可以比较的 (93.5%的MAT与87.7%的SMAT,P=0.33).
- 在SMAT中,内出血率较高 (13%对1.8%,P=0.04) 和手术时间较长 (34.4对19.9分钟,P<0.001).
- 倾向性得分匹配在安全结果中没有显著差异.
结论:
- 与MAT相比,SMAT没有改善复血管化或功能结果.
- SMAT与增加的出血并发症和死亡率有关.
- 由于成本和时间效率,MAT可能是M2阻塞的最佳第一线方法.
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