Cerebral ischemia tshwm sim los ntawm occlusion ntawm cerebral hlab ntsha ua rau cov ntshav tsis txaus thiab oxygen rau lub hlwb, ua rau muaj kev raug mob neuronal. Middle cerebral artery (MCA) occlusion yog ib qho ua rau mob hlwb ischemia. Nyob rau hauv xyoo tas los no, muaj kev nce qib tseem ceeb hauv kev cuam tshuam ntawm ischemic stroke. Ib qho kev nce qib tseem ceeb tshaj plaws hauv kev tswj hwm tus mob stroke ischemic yog kev txhim kho cov cuab yeej siv tshuab thrombectomy. Cov hlab ntsha nruab nrab ntawm lub paj hlwb yog ib qho ntawm cov chaw tshaj plaws rau thrombotic occlusion, thiab kev kho mob lub hom phiaj ntawm kev kho cov ntshav ntws sai li sai tau. Kab lus no yuav tham txog plaub txoj kev kho mob uas tau tshwm sim thiab tau siv dav hauv kev tswj hwm ntawm ischemic stroke, suav nrog SOLUMBRA, ARTS, SAVE, thiab SWIM.
Cov txheej txheem SOLUMBRA
Cov txheej txheem SOLUMBRA yog cov txheej txheem endovascular mechanical thrombectomy uas koom nrog kev sib xyaw ntawm stent retrievers thiab aspiration catheters. Cov txheej txheem no txhawb nqa cov stent retriever mus rau hauv lub nkoj occluded, thiab tom qab xa mus, lub catheter tau nce siab dhau ntawm microcatheter mus rau thrombus. Qhov no catheter yog tom qab ntawd siv rau aspirate lub thrombus. Cov kev tshawb fawb tsis ntev los no tau qhia tias kev siv cov txheej txheem SOLUMBRA tuaj yeem ua rau muaj kev cuam tshuam sai thiab kho tau zoo.
ARTS cov txheej txheem
Cov txheej txheem ARTS, hu ua anterior circulation revascularization therapy in ischemic Stroke, yog cov txheej txheem uas suav nrog kev siv microcatheter thiab microguidewire. Cov txheej txheem cuam tshuam nrog kev nce qib ntawm microguidewire dhau qhov occlusion, tom qab ntawd los ntawm infusion ntawm tus neeg sawv cev thrombolytic. Thaum kawg, ib qho cuab yeej tshem tawm yog siv los tshem tawm cov thrombus. Cov kev tshawb fawb tsis ntev los no tau pom tias kev kho mob nrog ARTS cov txheej txheem muaj kev nyab xeeb thiab zoo li ua tau rau kev kho mob ntawm ischemic stroke vim MCA occlusion.
Txuag cov txheej txheem
Cov txheej txheem SAVE sawv cev rau stent-pab vascular recanalization. Nws suav nrog kev sib xyaw ntawm stent retrievers thiab stents. Cov txheej txheem suav nrog kev xa cov stent retriever mus rau hauv cheeb tsam occluded tom qab los ntawm kev xa cov stent mus rau hauv stent retriever kom khaws cov thrombus. Ib txoj kev tshawb fawb tsis ntev los no tau qhia tias SAVE cov txheej txheem cuam tshuam nrog ntau feem pua ntawm kev rov ua kom tiav tom qab mob stroke hauv nruab nrab cov hlab ntsha.
SWIM cov txheej txheem
Cov txheej txheem SWIM yog cov txheej txheem uas suav nrog kev xa tawm stent rau kev rov ua dua ntawm cov hlab ntsha nruab nrab ntawm cov hlab ntsha hauv nruab nrab, suav nrog distal M2 thiab proximal M3. Cov txheej txheem no tau pom cov txiaj ntsig tau zoo hauv kev tswj hwm tus mob stroke ischemic. Ib txoj kev tshawb fawb tau tshaj tawm tias cov txheej txheem SWIM muab cov txiaj ntsig rov ua tiav hauv yuav luag 90% ntawm cov neeg mob, nrog rau cov txiaj ntsig zoo hauv 55% ntawm cov neeg mob.
Mechanical thrombectomy tau hloov pauv kev tswj hwm ntawm mob stroke ischemic. Nyob rau hauv xyoo tas los no, ntau txoj kev cuam tshuam tau tshwm sim, suav nrog SOLUMBRA, ARTS, SAVE, thiab SWIM. Cov tswv yim no tau pom tias muaj kev txhim kho tseem ceeb hauv kev rov kho dua tshiab thiab cov txiaj ntsig kho mob tom qab mob stroke ischemic vim qhov nruab nrab cerebral artery occlusion. Ib txoj kev tshawb fawb tau tshaj tawm tias cov txheej txheem SOLUMBRA muaj 80% kev ua tiav zoo. Cov txheej txheem ARTS tau pom qhov kev rov ua dua tshiab hauv thaj tsam ntawm 88%-95% nrog rau lub sijhawm nruab nrab ntawm kev rov ua dua ntawm kwv yees li 42 feeb. Cov txheej txheem SAVE tau pom tias muaj txiaj ntsig zoo rau kev kho mob nrog tus nqi rov ua dua ntawm 85%, thaum cov txheej txheem SWIM tau pom muaj kev txhim kho tseem ceeb hauv kev tswj hwm ntawm M2 lossis M3 occlusion.
Zuag qhia tag nrho, cov txheej txheem kev cuam tshuam tau txhim kho kev tswj hwm ntawm mob stroke ischemic, thiab cov tshuab thrombectomy tseem yog lub hauv paus ntawm kev tswj hwm. Kev mob stroke tuaj yeem ua rau muaj kev tuag thiab mob hnyav, thiab kev cuam tshuam sai yog tsim nyog los tiv thaiv kev puas tsuaj ntxiv. Cov txheej txheem tshiab no tau tso cai rau kev rov kho dua sai dua thiab txo qis ntawm kev mob thiab kev tuag.
Hauv kev xaus, kev txhim kho thiab kev siv cov tswv yim tshiab xws li SOLUMBRA, ARTS, SAVE, thiab SWIM tau pom cov txiaj ntsig tau zoo hauv kev tswj hwm tus mob ischemic stroke vim qhov nruab nrab cerebral artery occlusion. Kev nce qib ntawm kev txhim kho cov txheej txheem tshiab txuas ntxiv txhim kho kev tswj hwm ntawm ischemic stroke. Kev siv cov tswv yim no ua ke nrog kev xaiv cov neeg mob tsim nyog tuaj yeem ua rau muaj txiaj ntsig zoo dua thiab txhim kho lub neej zoo ntawm cov neeg mob stroke.