Therapeutic effect of early directional catheterization on malignant middle cerebral artery infarction
10.3760/cma.j.issn.1671-0282.2019.10.020
- VernacularTitle: 早期定向置管治疗老年恶性大脑中动脉梗死
- Author:
Maogang CHEN
1
,
2
;
Wensu YU
3
;
Chenglong DONG
4
;
Yijun DENG
4
;
Suwen ZHU
4
;
Jinbiao LUO
5
;
Handong WANG
1
;
Shujie SUN
6
Author Information
1. Department of Neurosurgery, General Hospital of Eastern Theater Command, Nanjing, Jiangsu Province, China
2. Department of Emergency, Yancheng Clinical Institute, Xuzhou Medical University (Yancheng City No.1 People’s Hospital), Yancheng, JiangSu Province China
3. Department of Neurology, Shandong Eenergy Zaozhuang Mining Group Central Hospital, Zaozhuang, Shandong Province, China
4. Department of Emergency, Yancheng Clinical Institute, Xuzhou Medical University (Yancheng City No.1 People’s Hospital), Yancheng, JiangSu Province China
5. Department of Neurosurgery, Guangzhou First People’s Hospital, Guangzhou, Guangdong Province, China
6. Department of Neurosurgery, Shanghai Xuhui Central Hospital, Shanghai, China
- Publication Type:Clinical Trail
- Keywords:
Malignant middle cerebral artery infarction;
Large hemisphere infarction;
Decompressive hemicraniectomy;
Cuboid stereotactic technique;
Brain tissue;
the aged;
Soft channel;
Minimally invasive puncture;
mRS
- From:
Chinese Journal of Emergency Medicine
2019;28(10):1282-1286
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy and safety of cuboid stereotactic aspiration of necrotic brain tissue for treating malignant middle cerebral artery infarction in the elderly patients.
Methods:Sixteen elderly patients with malignant middle cerebral artery infarction were selected from June 2017 to January 2019 in our hospital. Patients were followed up for 6 months to evaluate the efficacy of stereotactic aspiration of necrotic brain tissue using the modified Rankin Scale (mRS).
Results:The 30-day mortality was 18.75%. Among the 16 elderly patients, 6 (37.5%) had an mRS score of 3 (defined as moderate disability), 6 (37.5%) had an mRS score of 4 (defined as moderate to severe disability), 1 (6.25%) had an mRS score of 5 (defined as severe disability), and 3 (18.75%) had an mRS score of 6. The probability of 6-month favorable outcome, defined as an mRS score of ≤3, was 37.5%, and the 6-month mortality was 18.75%.
Conclusions:It is a simple, minimally invasive, effective and safe method to treat malignant middle cerebral artery infarction in the elderly patients with cuboid stereotactic aspiration of necrotic brain tissue, which needs to be confirmed by further randomized controlled studies.
