Efficacy and Safety of Endovascular Therapy for Minor Stroke due to Acute Large Vessel Occlusion

doi:10.3969/j.issn.1673-5765.2020.10.011

Abstract

Abstract:

Objective To investigate the efficacy and safety of endovascular therapy for minor stroke due to acute large vessel occlusion. Methods The clinical data of patients with acute minor stroke (NIHSS ≤5) due to large vessel occlusion from January 2018 to May 2019 was retrospectively analyzed. The recanalization (mTICI ≥2b), perioperative complications and 90-day prognosis were observed, and good prognosis was defined as a mRS score of 0-2. Results A total of 13 patients were included, with an average age of 58.7±14.5 years and 11 (84.6%) males. The recanalization rate was 100%; perioperative complications occurred in two cases, including one case of pseudoaneurysm and one case of asymptomatic cerebral hemorrhage; the 90-day good prognosis rate was 100%. Conclusions Endovascular therapy for minor stroke due to acute large vessel occlusion may be safe and effective.

Key words: Large vessel occlusion; Minor stroke; Endovascular therapy; Efficacy

摘要：

目的观察急性大血管闭塞性轻型卒中患者血管内治疗的疗效及安全性。方法回顾性分析2018年1月-2019年5月行血管内治疗的急性大血管闭塞性轻型卒中（NIHSS评分 ≤5分）患者的临床资料。观察术后血管成功再通率（mTICI≥2b级）、围手术期并发症、90 d良好预后率（mRS评分≤2分）等。结果共纳入13例患者，平均年龄58.7±14.5岁，男性11例（84.6%）。术后血管成功再通率100%；围手术期并发症2例，假性动脉瘤1例、无症状性颅内出血1例；90 d良好预后率100%。结论急性大血管闭塞性轻型卒中行血管内治疗可能是安全、有效的。

关键词: 大血管闭塞; 轻型卒中; 血管内治疗; 疗效

LIU Tao,LAN Chun-Wei, YUAN Kun-Xiong, WANG Qing-Yong, LI Kai-Feng, HE Xiong-Jun, LIU Ya-Jie, ZHANG Liang. Efficacy and Safety of Endovascular Therapy for Minor Stroke due to Acute Large Vessel Occlusion[J]. Chinese Journal of Stroke, 2020, 15(10): 1088-1093.

刘涛，兰春伟，袁昆雄，王清勇，黎凯峰，贺雄军，刘亚杰，张亮. 急性大血管闭塞性轻型卒中血管内治疗的疗效及安全性观察[J]. 中国卒中杂志, 2020, 15(10): 1088-1093.

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