机械再通治疗基底动脉急性闭塞的疗效分析

Analysis of effect of mechanical recanalization for acute basilar artery occlusion

摘要:

目的 观察机械再通基底动脉急性闭塞的疗效，探讨机械再通基底动脉急性闭塞的可行性和安全性。方法 回顾性分析近4年采用血管内机械再通治疗基底动脉急性闭塞7例患者的临床资料，观察术后即时效果和预后。结果 7例患者均实现机械再通。其中，3例患者因血管狭窄>50%行支架成形术，1例患者因血管狭窄<50%未行支架成形术，另3例有房颤病史患者无明显血管狭窄。出血死亡2例，植物存活1例，另4例恢复良好。5例存活者3月后mRS评分分别为1分1例，2分1例，3分2例，5分1例。结论 机械再通治疗基底动脉急性闭塞成功率高，总体效果满意，是有效、安全的治疗方法。

Abstract:

Objective To observe the effect of mechanical recanalization of acute basilar artery occlusion and investigate the feasibility and safety of mechanical recanalization for acute basilar artery occlusion.Methods A retrospective analysis of clinical data of seven patients with acute basilar artery occlusion who have accepted mechanical recanalization in past 4 years,and analyze the postoperative immediate effect and prognosis.Results Seven patients have achieved mechanically opened, 3 patients wih stenosis >50% have accepted stent angioplasty. 1 case wih stenosis <50% have not accepted stent angioplasty. 3 patients wih atrial fibrillation have no stenosis. 2 patients died of bleeding,1 patient has plant survival and another 4 patients have good recovery. MRS scores of 5 survivors respectively 3 months later:1 point in 1 case, 2 points in 1 case, 3 points in 2 cases, 5 points in 1 case.Conclusions Mechanical recanalization of acute basilar artery occlusion has a high success rate, overall results were satisfactory and is an effective and reliable treatment for acute basilar artery occlusion.