Rescue stenting after failure of mechanical thrombectomy for acute cerebral large artery occlusive infarction
10.3760/cma.j.issn.1671-8925.2019.02.008
- VernacularTitle:补救性支架植入在急性颅内大血管闭塞性脑梗死机械取栓再通失败后的临床应用分析
- Author:
Fuwen CHEN
1
;
Jinchao LIU
;
Yutie ZHAO
;
Xiaoli KANG
;
Sifu YANG
;
Hongwei LI
;
Hongsheng SHI
;
Ziwen WANG
Author Information
1. 濮阳市油田总医院介入科 457000
- Keywords:
Rescue stenting;
Large cerebral artery occlusion;
Cerebral infarction;
Mechanical thrombectomy
- From:
Chinese Journal of Neuromedicine
2019;18(2):156-161
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy and safety of rescue stenting after failure of mechanical thrombectomy for acute cerebral large artery occlusive infarction. Methods A total of 29 patients with acute cerebral large artery occlusive infarction who failed mechanical recanalization, admitted to our hospital from January 2016 to March 2018, were chosen in our study; 18 patients accepted rescue stenting (stenting group) and 11 patients did not accept rescue stenting (non-stenting group). Comparative analyses of final vascular recanalization rate, complication rate, and clinical outcomes in the stenting and non-stenting groups were performed. Results The final recanalization rates of the stenting group and non-stenting group were 88.9％ (16/18) and 36.4％ (4/11), respectively, and the good prognosis rates were 55.6％ (10/18) and 18.2％ (2/11), respectively; the differences were statistically significant between the two groups (P<0.05). The incidence of symptomatic intracranial hemorrhage (11.1％ [2/18] vs. 18.2％ [2/11]) and mortality (22.2％ [4/18] vs. 45.5％ [5/11]) showed no significant differences among the two groups (P>0.05). Conclusion Rescue stenting after mechanical recanalization of acute cerebral large artery occlusive infarction can significantly improve the clinical prognosis without increasing risk of intracranial hemorrhage.
