Study on clinical effect of reversely opening anterior circulation tandem lesions under protection of distal stents
10.3969/j.issn.1671-8348.2024.16.013
- VernacularTitle:远端支架保护下逆向开通前循环串联病变的临床效果研究
- Author:
Gui TONG
1
;
Zhiqiang WANG
;
Jin FAN
;
Xi LI
Author Information
1. 成都西区医院神经内科,成都 610036
- Keywords:
anterior circulation tandem lesions;
reverse opening;
safety;
efficacy;
distal stent protection
- From:
Chongqing Medicine
2024;53(16):2467-2471
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of the surgical strategy of reversely opening under the protection of distal thrombectomy stent on anterior circulation tandem lesions.Methods A total of 42 patients with acute ischemic stroke with anterior circulation tandem lesions receiving opening surgery from January 2018 to December 2023 were selected as the study subjects.According to the surgical strategy,the pa-tients were divided into the observation group (n=23,adopting the distant stent protection) and the control group (n=19,adopting the protective umbrella protection).The intraoperative thrombus escape rate,inci-dence rate of 24 h symptomatic intracranial hemorrhage (SICH),successful opening rate,total operation time,good prognosis rate and mortality rate on postoperative 90 d were compared between the two groups. Results All patients in the both groups were successfully opened,and the opening rate was 100％.There were no statistically significant differences in the 90 d good prognosis rate and mortality rate,SICH incidence rate at postoperative 24 h and total operation duration between the both groups (P>0.05).The thrombus distal end escape rate in the observation group was lower than that in the control group with statistically significant difference (4.3％ vs. 26.3％,P=0.043).Conclusion In the opening operation of anterior circulation tandem lesions,adopting the reverse opening surgical strategy under the distal stents protection has a lower thrombus escape rate,which is comparable to that of reverse opening under the traditional carotid artery protective um-brella in the aspects of effect and safety.
