Stroke yog qhov ua rau tuag thiab kev tsis taus thoob ntiaj teb, suav txog 11.8% ntawm tag nrho cov neeg tuag thiab yog qhov thib ob feem ntau ua rau tuag rau cov neeg mob hnub nyoog 60 xyoo. Mob stroke ischemic mob stroke, uas suav txog kwv yees li 87% ntawm cov mob stroke, yog tshwm sim los ntawm ib qho occlusion nyob rau hauv cerebral hlab ntsha. Kev ceev thrombectomy yog qhov kev kho mob zoo tshaj plaws rau kev mob stroke ischemic nyob rau hauv 6 teev tom qab cov tsos mob tshwm sim. Ntawm cov kev sib txawv ntawm thrombectomy, cov txheej txheem SWIM, uas yog siv cov stent retriever thiab intermediate catheters, yog siv dav hauv kev kho mob.
Cov txheej txheem SWIM yog siv los sau cov thrombus tshem tawm thiab tiv thaiv embolization. Daim ntawv tshaj tawm no yog tsom los tshuaj xyuas cov ntawv thov ntawm SWIM cov txheej txheem hauv thrombectomy.
Txhais cov txheej txheem SWIM
Cov txheej txheem SWIM yog ib lo lus dav dav uas hais txog ntau yam khoom siv kho mob thiab cov cuab yeej siv, suav nrog stent retriever, nruab nrab catheter, thiab lwm yam khoom siv. Nws yog txoj hauv kev zoo tshaj plaws thiab ua tau zoo los ua thrombectomy hauv tus neeg mob ischemic mob stroke. Yooj yim muab tso, nws yog kev siv cov stent retrievers thiab intermediate catheters kom ua tiav qhov kev pom zoo thrombectomy.
Nws ua haujlwm li cas?
Cov txheej txheem SWIM suav nrog ob kauj ruam yooj yim. Thawj yog kev siv cov catheter nruab nrab, uas tau muab tso rau hauv cov hlab ntsha thiab nce mus rau hauv lub thrombus, tsim cov channel rau stent retriever. Qhov thib ob yog kev siv cov stent retriever, uas tuav lub thrombus thiab rub tawm ntawm cov hlab ntsha. Lub stent retriever yog haum nyob ib ncig ntawm lub microcatheter thiab nce raws li nruab nrab catheter channel. Los ntawm kev siv txoj kev no, cov ntshav ntws tuaj yeem tswj tau, thiab qhov kev pheej hmoo ntawm distal embolization tuaj yeem txo qis.
Kev nce qib ntawm cov txheej txheem SWIM
Cov txheej txheem SWIM muaj ntau qhov zoo thiab muaj txiaj ntsig dua lwm txoj hauv kev thrombectomy. Ua ntej, nws tuaj yeem ntseeg tau nrhiav thiab cuab cov hlab ntsha hauv lub cuab yeej, ua rau muaj qhov ua tau zoo ntawm thrombectomy. Qhov thib ob, nws tuaj yeem txhim kho cov txheej txheem kev nyab xeeb los ntawm kev txo qis ntawm qhov kev pheej hmoo ntawm distal embolization. Thaum kawg, nws tuaj yeem ua kom nrawm thiab ua tau zoo thrombectomy, uas ua rau muaj txiaj ntsig zoo ntawm kev kho mob.
Cov kev cuam tshuam loj ntawm cov txheej txheem SWIM
Lub catheter nruab nrab yog ib qho tseem ceeb ntawm cov txheej txheem SWIM, vim nws qhov kev tsim thiab qhov loj tuaj yeem cuam tshuam qhov kev vam meej. Piv txwv li, qhov me me nruab nrab catheter loj tuaj yeem ua rau muaj kev pheej hmoo ntawm cov hlab ntsha tawg thiab kev cuam tshuam ntawm qhov chaw, thaum qhov loj dua tuaj yeem cuam tshuam cov stent retriever nkag mus rau thrombus. Ntxiv mus, kev xaiv cov stent retrievers kuj tuaj yeem cuam tshuam rau SWIM txheej txheem kev vam meej. Ib txoj kev tshawb fawb tsis ntev los no tau pom tias stent retriever nrog txoj kab uas hla loj dua muaj cov nqi rov qab ntau dua thiab cov txiaj ntsig tau zoo dua li cov uas muaj txoj kab uas hla me dua.
Kev kho mob ntawm cov txheej txheem SWIM
Ntau qhov kev tshawb fawb soj ntsuam tau ua pov thawj qhov ua tau zoo ntawm SWIM txheej txheem. Ib txoj kev tshawb fawb tsis ntev los no tau ua nyob rau hauv Suav teb piv cov txheej txheem SWIM thiab lwm txoj kev thrombectomy hauv cov neeg mob mob stroke ischemic. Cov txiaj ntsig tau pom tias SWIM tau cuam tshuam nrog tus nqi rov zoo dua, lub sijhawm luv thrombectomy, thiab muaj teeb meem tsawg dua. Tsis tas li ntawd, cov txheej txheem SWIM kuj tseem cuam tshuam nrog cov txiaj ntsig kev kho mob zoo dua, xws li cov neeg tuag tsawg dua, qhov tshwm sim ntau dua ntawm kev ua neej nyob ywj pheej, thiab tus nqi qis dua.
Xaus
Cov txheej txheem SWIM tau dhau los ua cov txheej txheem tseem ceeb rau thrombectomy hauv mob stroke ischemic. Nws qhov yooj yim thiab kev ntseeg tau ua rau nws txoj kev kho zoo rau kev ua tiav cov nqi rov ua dua tshiab thiab cov txiaj ntsig tau zoo. Cov kev tshawb fawb yav tom ntej yuav tsum tau tsom mus rau kev ua kom zoo rau kev tsim cov catheter nruab nrab thiab stent retriever los txhim kho cov txheej txheem SWIM kev ua tau zoo thiab kev nyab xeeb. Tsis tas li ntawd, hauv kev ua haujlwm hauv chaw kho mob, cov kws kho mob yuav tsum tau ua tib zoo xaiv cov txheej txheem tsim nyog thiab sib txuas cov kev kho mob los ntsuas qhov ua tau zoo thiab cov txiaj ntsig ntawm SWIM txheej txheem.