病例报告:在深脑静脉血栓症中使用支架检索器装置进行机械血栓切除术:说明性病例
Álvaro Martínez-Martín1, Francisco Hernández-Fernández1,2, Juan David Molina-Nuevo2
1Neurology Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
Frontiers in stroke
|January 16, 2026
概括
机械血栓切除术在抗凝药失败时为深脑静脉血栓症提供了一个有希望的治疗方法. 这种使用支架取回器的内血管方法显示了改善患者结果的潜力.
科学领域:
- 神经学 神经学
- 干预性神经辐射学
背景情况:
- 脑静脉血栓症 (CVT) 治疗传统上依赖于抗凝剂.
- 对于严重的病例,如深度CVT,抗凝药可能不足.
- 机械血栓切除术是CVT的一种成熟的内血管治疗方法.
研究的目的:
- 介绍两个对抗凝血药不耐用的深度CVT病例.
- 在这些情况下,要突出机械血栓切除术与支架取回器的使用.
- 在CVT治疗中引入一种新型设备 (Tiger XL®).
主要方法:
- 使用支架检索器设备进行机械血栓切除术.
- 对抗凝血药不反应的深脑静脉血栓的治疗.
- 一系列案例描述了两种不同的患者治疗方法.
主要成果:
- 在两个患有深度CVT的患者中成功进行机械血栓切除术.
- 一个案例使用了Tiger XL®支架取回器,这是以前没有描述过的CVT设备.
结论:
- 机械血栓切除术是深度CVT的可行选择,当抗凝药失败时.
- 支架取回器设备是常用的和有效的.
- 内血管治疗可以改善耐火性CVT中的生命和功能预后.
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