急性缺血性卒中大血管闭塞性质的判断与取栓方式和材料的选择

doi:10.3969/j.issn.1673-5765.2020.10.016

摘要/Abstract

摘要：

血管内机械取栓是治疗大血管闭塞性急性缺血性卒中的有效治疗方法。应结合病史、发病形式及影像学检查等综合判断病变性质；依据病变性质并参考手术路径，个性化选择支架取栓、抽吸取栓、球囊/支架血管成形术、动脉溶栓任一种或多种方法联合取栓；并依据手术方式选择手术材料，以快速高效地完成手术。

文章导读： 在大血管闭塞所致急性缺血性卒中的血管内治疗中，应结合病史、发病形式及影像学检查等判断病变性质，依据闭塞病变性质及手术路径，选择适合的取栓方式和取栓器材，以及时恢复再灌注改善患者预后。

关键词: 急性缺血性卒中; 大血管闭塞; 血管内治疗; 机械血栓切除术; 材料

Abstract:

Endovascular thrombectomy is an effective treatment method for the treatment of acute ischemic stroke due to large vessel occlusion. The nature of the lesions should be judged comprehensively according to the history, form of onset and imaging examination; one or more methods of stent thrombectomy, aspiration thrombectomy, balloon/stent angioplasty, and arterial thrombolysis can be selected, according to the lesions nature and the operation path. Based on the operation way, the surgery materials are selected so as to complete the operation quickly and efficiently.

Key words: Acute ischemic stroke; Large vessel occlusion; Endovascular treatment;Thrombectomy; Material

朱其义，韩红星，王贤军，王浩. 急性缺血性卒中大血管闭塞性质的判断与取栓方式和材料的选择[J]. 中国卒中杂志, 2020, 15(10): 1111-1117.

ZHU Qi-Yi, HAN Hong-Xing, WANG Xian-Jun, WANG Hao. Judgment of Nature of Large Vessel Occlusion and Selection of Methods and Materials for Thrombectomy in Acute Ischemic Stroke[J]. Chinese Journal of Stroke, 2020, 15(10): 1111-1117.

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