SWIM thev naus laus zis yog cov cuab yeej siv dav dav raws li stent retrieval raws li lub hauv paus pob zeb. Nws ua ke nrog nruab nrab catheter hu rau aspiration kom paub txog ob lub tswv yim ntawm "stent grabbing" thiab "catheter aspiration". Nws tau tsim rau hauv thrombectomy stent ua ke nrog cov txheej txheem catheter thrombectomy nruab nrab tom qab kev hloov pauv tas li. Nws yog cov tshuaj thrombectomy nrog Suav cov yam ntxwv uas tau tshawb xyuas thiab tshuaj xyuas los ntawm Suav cov kws kho mob thrombectomy, suav nrog cov txiaj ntsig thiab nqi. Cov txheej txheem uas suav nrog lub zais pa catheters, aspiration catheters, thiab lwm yam tsis tuaj yeem hu ua SWIM cov txheej txheem. Muaj ob txoj hauv kev los tshem tawm cov stent hauv SWIM txheej txheem: ib qho yog tias lub thrombectomy stent yog rub tawm ntawm lub catheter nruab nrab, thiab tom qab ntawd lub catheter nruab nrab yog aspirating. Lwm qhov yog tias lub thrombectomy stent yog ib nrab thim mus rau hauv lub taub hau kawg ntawm lub catheter nruab nrab, thiab tom qab ntawd tshem tawm tag nrho tom qab raug kaw. . Thawj txoj kev tuaj yeem raug ntaus nqi rau cov tswv yim uas siv cov catheter nruab nrab raws li cov channel rau thrombectomy, thiab cov stent tau muab rov qab tom qab qhov siab nyob rau hauv qhov chaw ntxiv rau qhov nruab nrab catheter yog nyob rau hauv situ aspiration, tshwj xeeb tshaj yog haum rau nruab nrab cerebral hlab ntsha occlusion thiab lwm yam me me embolic. loads uas yuav rub los yog suctioned rau hauv nruab nrab catheter. Qhov thib ob txoj kev tuaj yeem raug ntaus nqi rau cov txheej txheem thrombectomy nrog ob npaug ruaj clamps ua ke nrog aspiration.
Yog tias SWIM thev naus laus zis yog Suav tus yam ntxwv, Solumbra thev naus laus zis tau pib thiab txhawb nqa txawv teb chaws. Zoo li cov txheej txheem SWIM, nws tau hloov zuj zus mus rau hauv cov txheej txheem thrombectomy uas ua ke nrog thrombectomy stent nrog rau lub siab catheter. Cov kauj ruam ua haujlwm ntawm cov txheej txheem Solumbra yog qhov pib zoo ib yam li cov txheej txheem SWIM, tab sis cov ntsiab lus txawv ntawm cov txheej txheem SWIM nyob rau hauv uas cov catheter nruab nrab sticks rau thrombus, thiab cov txheej txheem Solumbra uas lub aspiration catheter tsis kov lub thrombus. Txhawm rau tsim kom muaj qhov tsis xws luag uas tus qauv Solumbra txheej txheem tsis ncaj qha hu rau thrombus thiab ua tiav cov txiaj ntsig zoo dua thrombus tshem tawm, ARTS cov txheej txheem tau txhim kho ntxiv rau nws. Qhov kev txhim kho tseem ceeb yog qhov kawg ntawm qhov kawg yuav tsum tau siv lub zais pa guiding catheter thiab lub aspiration catheter yog ze rau qhov kawg ntawm lub thrombus thaum lub sij hawm aspiration. Tsis zoo li cov txheej txheem Solumbra tus qauv, lub stent tuaj yeem rub rov qab rau hauv lub aspiration catheter thiab lub aspiration catheter tuaj yeem khaws cia rau hauv qhov chaw nqus. Lub stent retrieval thiab aspiration catheter tseem tuaj yeem tshem tawm ntawm lub cev tag nrho tib lub sijhawm. ARTS thev naus laus zis xav kom lub thrombectomy stent thiab aspiration catheter raug tshem tawm raws li ib qho kev kaw lus. Muaj ntau txoj kev tshawb fawb txog Solumbra thev naus laus zis hauv txawv teb chaws. Qee cov kev tshawb fawb tau soj ntsuam cov txiaj ntsig ntawm kev hloov pauv los ntawm ADAPT thev naus laus zis mus rau Solumbra thev naus laus zis ntawm tus nqi recanalization, thiab pom tias kev hloov pauv mus rau Solumbra thev naus laus zis tuaj yeem nce tus nqi rov qab los ntawm 13.3 feem pua. Thiab qhov loj ntawm txoj kab uas hla ntawm lub nkoj occluded, qhov ntau yuav siv lub tswv yim hloov dua siab tshiab. Nws kuj tau qhia cov neeg mob uas muaj txoj kab uas hla loj occluded hlab ntsha thiab loj thrombus load, nws yuav tsim nyog yuav tsum ncaj qha mus rau qhov tseem ceeb ntawm cov txheej txheem Solumbra.
ADAPT txheej txheem yog hais txog cov txheej txheem ntawm thrombectomy nrog ncaj qha aspiration raws li cov txheej txheem nyiam. Thaum ntxov, tus qauv kev ua haujlwm ntawm ADAPT yog nqus ib feem ntawm lub thrombus nrog lub aspiration catheter, thiab tom qab ntawd tshem lub catheter thiab lub thrombus tag nrho. Qhov kom zoo dua ntawm aspiration yog tias nws tsuas yog ib feem ntawm lub thrombus yog nqus los ntawm lub catheter taub, thiab lub ntsiab lub cev ntawm lub thrombus sab nraum yuav tawg tawm txhua lub sij hawm. Thaum lub thrombus stent retriever kho tag nrho cov thrombus. Qhov no kuj qhia tau tias thrombectomy stent yog txoj hauv kev tshiab rau kev kho mob endovascular thaum lub sijhawm ntawd, tsis yog kev ntshaw. Txawm li cas los xij, nrog rau kev txhim kho thiab hloov lub aspiration catheter, lub aspiration catheter tshiab muaj peev xwm zoo dua rau kev xa tawm thiab lub lumen loj dua, uas muaj peev xwm ua kom muaj zog dua. Thiab feem ntau thrombus tuaj yeem raug nqus ncaj qha tawm ntawm lub catheter los ntawm qhov chaw qub. Nws cov txheej txheem kev khiav hauj lwm kuj tau hloov mus rau tam sim no aspiration catheter tom qab kev sib cuag nrog lub thrombus thiab tas li tsis zoo siab nqus, thiab lub thrombus yog nqus tawm hauv lub cev kom txog thaum lub siab tsis zoo ploj mus thiab cov ntshav ntws rov qab. Tshwj tsis yog tias lub koom haum emboli nrog cov ntim loj thiab cov tawv nqaij tawv tsis tuaj yeem nqus tau tag nrho ntawm lub cev los ntawm lub catheter, qhov xwm txheej no yuav tsum tau hloov mus rau cov txheej txheem Solumbra sai li sai tau. Tej zaum nws yuav tsim nyog dua kom tshem tawm lub cev tag nrho los ntawm ob qhov ruaj khov clamp ntawm lub aspiration catheter nrog stent retriever.