Stroke yog qhov ua rau tuag thiab kev tsis taus thoob ntiaj teb. Kev taw qhia txog kev kho mob thrombectomy tau hloov pauv kev kho mob ntawm ischemic stroke tshwm sim los ntawm cov hlab ntsha loj occlusions. Nyob rau hauv xyoo tas los no, direct aspiration first pass technique (ADAPT) tau tshwm sim los ua ib qho kev vam meej thrombectomy strategies. Nws koom nrog kev siv lub lumen catheter loj los mus ncaj qha rau cov hlab ntsha ntawm lub paj hlwb yam tsis tas yuav tsum muaj stent retriever. Cov txheej txheem no tau pom zoo los txhim kho cov txiaj ntsig ntawm tus neeg mob thiab txo cov sij hawm txheej txheem, ua rau nws muaj kev xaiv zoo rau kev kho mob stroke.
ADAPT siv kev sib xyaw ua ke ntawm lub lumen aspiration catheter loj, microcatheter, thiab cov lus qhia catheter kom aspirate lub thrombus thiab nyab xeeb tshem tawm ntawm cov hlab ntsha hlwb. Qhov loj lumen aspiration catheter yog muab tso rau ntawm lub femoral hlab ntsha thiab navigated mus rau lub thrombus siv ib tug qhia catheter. Txhawm rau ua tiav qhov kev ntshaw ntawm cov thrombus hauv ib qho dhau los, lub zais pa qhia catheter yog siv los rov tsim cov ntshav ntws los ntawm cov hlab ntsha cuam tshuam. Cov txheej txheem ADAPT txawv ntawm lwm cov txheej txheem thrombectomy vim nws tsis siv lub tswv yim stent-retriever, tab sis tsuas yog nyob ntawm kev nqus.
Cov kev tshawb fawb qhia tias ADAPT muaj qhov ua tau zoo hauv kev ua tiav cov txiaj ntsig zoo rau cov neeg mob uas mob stroke ischemic. Nws tau pom tias muaj txiaj ntsig zoo sib xws rau cov txheej txheem stent retriever, tab sis muaj kev kho kom yooj yim dua thiab txo qhov kev xav tau ntawm cov tswv yim ntxiv xws li balloon angioplasty lossis siv tPA (cov ntaub so ntswg plasminogen activator). Tsis tas li ntawd, ADAPT tau pom tias muaj lub sijhawm ua haujlwm luv luv, ua rau txo qis qhov sib piv lossis hluav taws xob.
Ib qho ntawm qhov zoo ntawm ADAPT cov txheej txheem yog tias nws yog kev zam txim ntau dua rau kev kho mob stroke thrombectomy. Cov txheej txheem tso cai rau kev tshem tawm cov txheej txheem siab heev lossis cov neeg laus thrombus, uas feem ntau tuaj yeem tiv taus kev kho stent retriever. Qhov no yog vim hais tias ib feem tseem ceeb ntawm ADAPT kev sib tw yog phau ntawv tswj kev khiav hauv cov lus qhia catheter los tsim kom muaj lub zog nqus zoo ntawm tag nrho cov thrombus. Tsis tas li ntawd, ADAPT tuaj yeem siv rau ntau yam ntawm cov hlab ntsha intracranial, suav nrog cov hlab ntsha hauv nruab nrab thiab cov hlab ntsha.
Lwm qhov txiaj ntsig ntawm ADAPT cov txheej txheem yog tias nws tuaj yeem yooj yim muab tso rau hauv cov tswv yim thrombectomy uas twb muaj lawm. Raws li cov kev kho mob tam sim no lean hnyav heev ntawm cov txheej txheem stent-retriever, ADAPT cov txheej txheem tuaj yeem muab lwm txoj hauv kev los yog siv tau zoo, ua kom pom qhov hloov pauv ntawm cov tshuab thrombectomy. Tsis tas li ntawd, kev siv ADAPT yog ncaj nraim, thiab tuaj yeem siv tau yooj yim, txo qhov kev pheej hmoo ntawm cov teeb meem cuam tshuam nrog cov txheej txheem.
Nyob rau hauv xaus, qhov ncaj aspiration first pass technique (ADAPT) rau mob stroke thrombectomy muaj ib tug yooj yim thrombectomy txheej txheem uas yog ob qho tib si zoo thiab zoo. Nws tau pom tias muaj kev vam meej hauv cov neeg mob uas muaj mob stroke ischemic, thiab txo cov sijhawm ua haujlwm thaum txo qis qhov xav tau rau cov tswv yim ntxiv. ADAPT yog cov txheej txheem tshiab thiab muaj txiaj ntsig uas tso cai rau cov kws kho mob txhawm rau txhim kho cov txiaj ntsig ntawm tus neeg mob nrog kev zam txim ntau dua, kev qhia dav dav rau thrombectomy.