尼瓦支架回收器 - - 一个单中心的现实世界体验
Pervinder Bhogal1, Marco Mancuso-Marcello1, Rory Fairhead1
1Department of Interventional Neuroradiology, The Royal London Hospital, Whitechapel Road, London, UK.
概括
在57%的急性缺血性中风患者中,NeVa支架恢复器实现了高的第一通效应 (FPE). 这种机械血栓切除方法显示出出色的再通道化率,支持其用于大血管封闭性中风治疗.
科学领域:
- 神经学 神经学
- 干预性神经辐射学
- 血管医学 血管医学
背景情况:
- 使用支架取回器的机械血栓切除术 (MT) 是从大血管封闭 (LVO) 引起的急性缺血性中风 (AIS) 的关键治疗方法.
- 第一通效应 (FPE) 是在接受MT的LVO AIS患者中成功结果的关键预测因素.
研究的目的:
- 评估NeVa支架检索器在LVO AIS患者中实现FPE和成功的再通道化方面的现实有效性.
- 分析与FPE相关的因素和功能结果在一个前性地维护的注册表中.
主要方法:
- 独立的中央阅读器对89名连续的LVO AIS患者进行了审查,这些患者接受了NeVa支架检索器治疗.
- 分析程序参数,包括设备长度,使用气球导管导管 (BGC) 和远端吸入.
- 评估第一次通道效应 (eTICI ≥2c) 和最终再通道 (eTICI ≥2c).
主要成果:
- 在57%的患者中实现了FPE (eTICI ≥2c);在65.1%的患者中实现了修改的FPE (eTICI ≥2b).
- 在87%的病例中,最终成功实现了再通道化 (eTICI ≥2c).
- 在40%的患者中观察到良好的功能结果 (mRS ≤2).
结论:
- 在现实环境中,NeVa支架回收器展示了高率的FPE和最终再通道化.
- 使用较长的NeVa设备,BGC和近位吸收可以优化FPE.
- 这些发现支持NeVa支架追回者在LVO AIS治疗中的有效性.
相关概念视频
Pulmonary Tuberculosis I
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
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Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
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The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
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Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
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Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the progression...
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