Endovascular intervention in treating acute cerebral stroke: a report of 32 cases
10.3760/cma.j.issn.1671-8925.2014.06.016
- VernacularTitle:急性缺血性脑卒中的血管内介入治疗疗效分析(附32例报告)
- Author:
Yingchao JING
1
;
Xiaoteng YAO
;
Dingke ZHENG
;
Kejun LIU
;
Yituan XIE
;
Guojie JING
Author Information
1. 惠州市神经外科研究所
- Keywords:
Acute cerebral stroke;
Arterial thrombolysis;
Mechanical fragmengation;
Stent thrombectomy
- From:
Chinese Journal of Neuromedicine
2014;13(6):610-613
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of endovascular intervention in treating acute cerebral stroke.Methods Thirty-two patients with acute cerebral stroke (22 with middle cerebral artery occlusion and 10 with internal carotid artery occlusion),admitted to and treated with endovascular intervention in our hospital from January 2010 to October 2013,were chosen in our study;14 were performed arterial thrombolysis+mechanical fragrnengation and 18 were performed mechanical fragrnengation+ solitaireAB stent thrombectomy.Retrospective analysis was performed on the clinical data and treatment efficacy,and the prevention experience of complications was concluded.Results CTA showed that complete recanalization was noted in 18 patients and partial recanalization in 5,with a recanalization rate reaching 7 1％.Postoperative symptomatic intracerebral hemorrhage was noted in 2 patients (6％) and 1 (3.1％) had large area of cerebral infarction.One month after the treatment,MRI indicated decreased areas of infarction in all patients.NIHSS scores were 4-6 points of all patients;favorable prognosis was noted in 23 patients (72％).Nine patients had heavy neurological dysfunction,with limb muscle strength less than grade Ⅲ.Conclusion Endovascular intervention in treating acute cerebral stroke can get high recanalization rate,and achieve good clinical outcome.
