Kev kho mob ntawm tus mob ischemic stroke yuav tsum xub qhib cov hlab ntsha hauv lub sijhawm thiab txuag lub ischemic penumbra. Tam sim no, txoj kev kho tsis yog phais yog dav siv hauv kev kho mob ntawm ischemic stroke. Tus txheej txheem intravenous thrombolysis yog ib txoj hauv kev yooj yim rau kev kho mob ntawm cov neeg mob uas mob stroke ischemic. Nyob rau hauv xyoo tas los no, cov tshuaj neurointerventional tau txuas ntxiv txhim kho, thiab cov cuab yeej tshiab thiab cov cuab yeej tau tsim kho tshiab. Nyob rau tib lub sijhawm, kev txhawb nqa los ntawm cov tshuaj raws li pov thawj, endovascular mechanical recanalization therapy tuaj yeem ua lub luag haujlwm zoo dua hauv kev kho cov neeg mob uas mob stroke ischemic, thiab kev nyab xeeb ntawm kev kho mob tau raug txhim kho, uas tau txais kev saib xyuas ntau dua. Kev kho mob intravascular recanalization rau mob ischemic stroke tuaj yeem ua tiav los ntawm arterial thrombolysis, stent thrombectomy, catheter thrombectomy, balloon dilatation angioplasty, thiab stent struts, txhua yam tuaj yeem ua lub luag haujlwm hauv kev kho mob stroke.
Txoj kev tshawb no qhia tias catheter aspiration thiab stent thrombectomy ob leeg tuaj yeem ua lub luag haujlwm hauv kev kho thrombolytic rau cov neeg laus nrog ischemic stroke. Kev sib xyaw ntawm stent thiab intermediate catheter thrombectomy tuaj yeem txhim kho cov nyhuv thrombectomy thiab txhim kho tus neeg mob lub paj hlwb kev ua haujlwm thiab kev kwv yees yam tsis muaj kev cuam tshuam rau kev nyab xeeb ntawm kev kho mob.
Cov txheej txheem kho mob thrombectomy ua ke nrog catheter aspiration thiab thrombectomy nrog stent thrombectomy yog ib qho kev sib xyaw ntawm catheter aspiration thiab thrombectomy technology thiab stent thrombectomy thev naus laus zis los txhawb kev ua kom zoo thiab txhim kho cov tshuab thrombectomy. Qhov kev sib xyaw ua ke no tsis yog kev siv tib lub sijhawm ntawm ob lub thrombectomy technologies, tab sis ib qho kev nthuav dav thiab zoo vascular recanalization txoj kev uas tau maj mam optimized thiab txhim kho hauv kev kho mob. Nrog rau daim ntawv thov kev kho mob thiab kev txhim kho, kev sib xyaw ua ke thrombectomy thev naus laus zis tau nce qhov ua tau zoo ntawm kev ua haujlwm tiag tiag, thiab tuaj yeem ua tiav cov teebmeem thrombectomy tseem ceeb, thiab tuaj yeem ua kom muaj kev nyab xeeb ntawm kev kho mob thrombectomy. Nyob rau hauv kev kho mob ntawm catheter ncaj aspiration thiab stent thrombectomy, lub catheter xaiv yog ib tug multifunctional catheter, uas yuav txhawb kom lub carotid hlab ntsha pib mus sai sai thaum lub sij hawm thrombectomy txheej txheem, pab muab kev pab txaus thaum lub sij hawm kho thrombectomy txheej txheem, thiab xyuas kom meej lub thrombectomy. ua haujlwm zoo ntawm cov txheej txheem thrombectomy. Nyob rau hauv sib piv, lub lag luam thev naus laus zis ntawm lub zais pa qhia catheter yog qhov nyuaj dua, tshwj xeeb tshaj yog rau cov txheej txheem kho thrombectomy ntawm cov neeg mob uas muaj intracranial loj hlab ntsha occlusion, uas nws anterior sib txuas hlab ntsha thiab posterior sib txuas lus artery yog ob qho tib si qhib. Yog li ntawd, yog hais tias lub zais pa qhia catheter siv rau thrombectomy, kev tswj kom zoo ntawm cov ntshav ntws tsis tuaj yeem ua tiav.
Hauv cov ntsiab lus, stent ua ke nrog nruab nrab catheter hu rau thrombectomy yog ib txoj hauv kev nyab xeeb thiab zoo rau kev kho mob ntawm ischemic stroke. Hauv kev kho mob ntawm cov neeg laus uas muaj mob stroke ischemic, kev siv cov stent ua ke nrog nruab nrab catheter thrombectomy tuaj yeem ua kom muaj tus nqi siab ntawm vascular recanalization. Txoj kev thrombectomy no tuaj yeem ua tau zoo rau qhov tsis txaus ntawm cov thrombectomy yooj yim, uas yog qhov tseem ceeb rau cov neeg mob laus, muaj txiaj ntsig zoo rau kev kho mob, thiab tuaj yeem ua kom muaj kev nyab xeeb ntawm kev kho phais.