Application of one-stop stroke treatment platform in mechanical endovascular thrombectomy for acute anterior circulation large artery occlusive cerebral infarction
10.3969/j.issn.1008-794X.2025.03.003
- VernacularTitle:一站式卒中救治平台在急性前循环大动脉闭塞性脑梗死机械开通治疗中的应用
- Author:
Yang YANG
1
;
Yingkun HE
;
Zhaoshuo LI
;
Qiang LI
Author Information
1. 450002 河南郑州 郑州大学人民医院(河南省人民医院)介入中心脑血管病科
- Keywords:
one-stop stroke treatment platform;
mechanical recanalization of acute ischemic stroke
- From:
Journal of Interventional Radiology
2025;34(3):238-242
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the application of one-stop stroke treatment platform in mechanical recanalization of acute anterior circulation large artery occlusive cerebral infarction.Methods The clinical data and imaging materials of patients with acute occlusion of the end of internal carotid artery and M1 segment of the middle cerebral artery,who were admitted to the Zhengzhou University People's Hospital of China within 8 hours of disease onset from August 2018 to December 2020,were collected.All patients received mechanical recanalization of the occluded arteries.A total of 59 patients were treated on a one-stop stroke treatment platform(one-stop group),while other 41 patients were treated in routine operating room(routine group).The baseline data,admission-to-imaging time,imaging-to-femoral artery puncture time,admission-to-femoral artery puncture time,time spent for operation,perioperative complications and 90-day good prognosis rate were compared between the two groups.Results The preoperative median NHISS score of the routine group was 16.0(14.0,20.0)points,which was remarkably higher than 14.0(11.0,16.5)points of the one-stop group,the difference was statistically significant(P=0.003).No statistically significant differences in baseline data,perioperative complications and 90-day good prognosis rate existed between the two groups(all P＞0.05).The median admission-to-imaging time,imaging-to-femoral artery puncture time,admission-to-femoral artery puncture time,and admission-to-reperfusion time in the one-stop group were 15.0(12.0,19.0)min,49.0(36.0,60.0)min,66.0(50.0,82.0)min and 138.0(94.7,161.2)min respectively,which in the routine group were 29.0(24.0,42.0)min,63.0(48.0,85.0)min,99.0(78.0,134.5)min and 161.0(122.5,208.0)min respectively,the differences in the above indexes between the two groups were statistically significant(all P＜0.001).The success rate of vascular recanalization in the one-stop group was 91.5％,which was higher than 70.7％ in the routine group(x2=7.413,P=0.013).Conclusion In mechanical recanalization of acute anterior circulation large artery occlusive cerebral infarction,the use of one-stop stroke treatment platform can significantly shorten the admission-to-femoral artery puncture time and improve the success rate of vascular recanalization.
