Application of reperfusion-expanding-thrombectomy-stenting technique in carotid tandem lesions
10.3760/cma.j.cn113694-20210425-00297
- VernacularTitle:恢复灌注-球囊扩张-机械取栓-支架成形技术在颈动脉串联病变中的应用
- Author:
Hongyang SUN
1
;
Xianjun WANG
;
Hao WANG
;
Zhenyu ZHAO
;
Jian GONG
;
Wang CHEN
;
Qiyi ZHU
;
Hongxing HAN
Author Information
1. 临沂市人民医院神经内科，临沂276000
- Keywords:
Brain Ischemia;
Carotid artery, internal;
Stents;
Ductus arteriosus;
Balloon dilation;
Endovascular treatment
- From:
Chinese Journal of Neurology
2022;55(1):35-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the feasibility and clinical efficacy of reperfusion-expanding-thrombectomy-stenting (RETS) technique in the endovascular treatment of acute carotid artery tandem lesion.Methods:The general clinical data of 88 patients with carotid artery tandem lesion who received emergency endovascular treatment from January 2018 to December 2020 in Department of Neurology, Linyi People′s Hospital were reviewed, the Modified Rankin Scale (mRS) was used as the evaluation standard for the prognosis of patients at 90 days after endovascular treatment, and the clinical data were analyzed, including the recanalization (modified thrombolysis in cerebral infarction ≥2b), perioperative complications and 90-day prognosis, and good prognosis was defined as a mRS score of 0-2.Results:A total of 88 patients with tandem carotid artery disease were included,48 of whom were treated with RETS technique, 40 were treated with anterograde approach. Compared with antegrade recanalization, RETS technique had significant differences in the time from puncture to recanalization [(72.06±17.29) min vs (98.88±26.09) min, t=-5.56, P<0.001] and the primary recanalization rate [35/48(73.0%) vs 21/40(52.5%),χ2=3.93 ,P=0.047], with statistically significant difference. There was no significant difference in clinical prognosis and surgical complications between the two methods (all P>0.05). Conclusions:RETS technique can shorten the operation time and increase the primary recanalization rate. RETS technique is safe and feasible for the treatment of carotid tandem lesions.
