Tam sim no, ntau qhov kev tshawb fawb soj ntsuam thoob ntiaj teb tau lees paub tias stent thrombectomy tuaj yeem pab cov neeg mob uas mob stroke ischemic. Nyob rau hauv xyoo tas los no, cov tswv yim aspiration thrombectomy kuj tau siv ntau hauv kev kho mob, tshwj xeeb tshaj yog cov txheej txheem directaspiration (ADAPT) siv cov catheter loj-bore intermediate catheters. ADAPT muaj qhov siab duarecanalization tus nqi thiab lub sij hawm luv luv canalization tshaj qhov kev xaiv thawj zaug ntawm stent thrombectomy.
ADAPT thev naus laus zis coj kaj ntug tshiab rau kev kuaj mob thiab kho mob stroke ischemic
Lub hauv paus ntsiab lus ntawm ADAPT yog xa cov catheter loj rau qhov chaw ntawm lub thrombus, thiab tom qab ntawd siv qhov nqus kom tshem tawm cov thrombus. Nws qhov tshwm sim muab cov kws kho mob muaj kev nyab xeeb thiab nrawm nrawm. Qhov zoo ntawm ADAPT thev naus laus zis hauv kev kuaj mob thiab kho mob stroke ischemic stroke. Nyob rau hauv cov nqe lus ntawm kev kho mob, ADAPT technology yog luv luv nyob rau hauv lub sij hawm, muaj siab recanalization tus nqi, tsawg embolus khiav tawm tus nqi thiab tsis tshua muaj teeb meem. Nws yog qhov kev xaiv zoo tshaj plaws rau kev kho mob ntawm ischemic stroke.
Siab Recanalization Rate
ADAPT thev naus laus zis muaj qhov ua kom rov zoo dua qub, tshwj xeeb tshaj yog rau kev kho mob ntawm qhov kawg-stage lesions ntawm sab hauv carotid artery lossis loj-burden thrombus kawg ntawm cov hlab ntsha basilar. Rau cov neeg mob hnyav thrombus, kev kho ob-stent feem ntau tau siv yav dhau los, tab sis tus nqi patency tsis siab thiab cov kev mob tshwm sim ntawm vascular puas tsuaj yuav tshwm sim. Ntawm qhov tod tes, tus nqi ntawm kev kho ob-stent kuj tseem siab. Qhov tshwm sim ntawm ADAPT thev naus laus zis tau ua kom zoo dua qub ntawm cov hlab ntsha.
Sijhawm luv luv siv
Lub sij hawm yog lub neej. Rau qhov hnyav thrombus, nws siv sijhawm ntev los siv ob lub stent retriever rub los ntawm lub thrombus, thiab nws yuav tsum tau rov ua ntau zaus. Nrog rau ADAPT thev naus laus zis, kev xav tau nrawm heev, thiab ntau qhov txhab tuaj yeem ua tiav hauv kaum lossis nees nkaum feeb xwb. ADAPT thev naus laus zis yog qhov kev txhim kho zoo hauv lub sijhawm nws siv los qhib cov hlab ntsha.
Tsawg Embolus Escape Rate
Yav dhau los, thaum rub lub thrombus, lub microguidewire thiab microcatheter yuav tsum hla qhov chaw thrombus occlusion, yog li nws yooj yim rau embolus kom khiav tawm thaum lub sijhawm rub tawm. Txawm li cas los xij, nrog kev siv ADAPT thev naus laus zis, tom qab xaiv qhov tseeb microcatheter, tsis tas yuav hla qhov chaw thrombus occlusion. Aspiration yog ua ncaj qha los ntawm qhov chaw occlusion ntawm lub embolus, uas zoo heev txo qhov tshwm sim ntawm distal embolus khiav.
Yooj Yim Siv
Siv ADAPT los qhib qhov occlusion ntawm M1 ntu tsis tas yuav dhau los ntawm qhov chaw occlusion, thiab tsis tas yuav mus txog qhov kawg ntawm qhov kawg thaum lub catheter yog aspirating, uas zoo heev txo qhov nyuaj ntawm kev ua haujlwm. Rau tus kws phais mob, ADAPT ua rau thrombectomy yooj yim dua thiab yooj yim dua.
Glutton Aspiration Catheter txo cov teeb meem
Raws li lub aspiration catheter rau kev kho mob ntawm ischemic stroke, Glutton muaj qhov zoo ntawm kev nqus sai thiab ua tau zoo, tshwj xeeb tshaj yog rau cov neeg mob uas muaj ntshav txhaws ntau, uas tuaj yeem ua lub luag haujlwm zoo. Lub sij hawm yog qhov tseem ceeb, thiab Dredger aspiration catheter muaj cov khoom xa tuaj zoo heev thiab tuaj yeem ua rau lub sijhawm luv luv thiab rov ua dua tshiab. Los ntawm qhov pom ntawm qhov teeb meem, Glutton catheter ua rau muaj kev puas tsuaj tsawg rau phab ntsa ntawm cov hlab ntsha. Glutton catheter ua rau kev xav nrog cov teeb meem tsawg heev.
Txoj kev loj hlob ntawm ADAPT Technology yog Unstoppable
Saib rov qab los ntawm keeb kwm ntawm kev kho mob ntawm tus mob ischemic stroke, txij li xyoo 1995, cov txheej txheem kev kho mob thoob ntiaj teb tau pom zoo rau kev kho mob thrombolytic raws li thawj txoj kev pom zoo hauv kev kho cov neeg mob mob stroke. Hauv xyoo 2015, tsib qhov kev sim tshuaj endovascular stroke tseem ceeb tau tshaj tawm, lees paub tias cov neeg mob stroke tshwm sim los ntawm cov hlab ntsha loj occlusion tuaj yeem tau txais txiaj ntsig los ntawm kev kho mob endovascular. Qhov kev kawm tseem ceeb no tau tsim tsa lub luag haujlwm ntawm txhua yam thrombectomy hauv cov hlab ntsha loj occlusion. Cov xwm txheej ntawm thawj kab kev kho mob qhia txog qhov tuaj txog ntawm lub sijhawm ntawm thrombectomy.
Hauv ob xyoos dhau los, nrog kev tshwm sim ntawm ADAPT thev naus laus zis, stent thrombectomy lossis catheter aspiration tau dhau los ua lub ntsiab lus kub uas tau tham dav dav hauv kev kho mob. 2019 AHA/ASA cov lus qhia hloov tshiab teev ADAPT thev naus laus zis raws li IB tau pom zoo kho, muab cov pov thawj muaj zog txhawb rau kev siv tshuaj kho mob ntawm ADAPT thev naus laus zis.