Ischemic stroke yog qhov ua rau tuag thiab kev tsis taus thoob ntiaj teb. Nws tshwm sim thaum cov ntshav txhaws thaiv ib qho ntawm cov hlab ntsha loj hauv lub hlwb. Mechanical thrombectomy tau tsim los ua kev kho mob zoo heev rau mob stroke ischemic tshwm sim los ntawm cov hlab ntsha loj occlusion. Ob txoj kev siv ntau tshaj plaws hauv kev siv tshuab thrombectomy yog qhov ncaj qha clot aspiration thiab stent retriever thrombectomy. Nyob rau hauv xyoo tas los no, ib qho kev sib koom ua ke uas siv ob qho kev qhia tau tshwm sim los ua ib lub tswv yim zoo rau kev txhim kho tus nqi recanalization thiab cov txiaj ntsig kho mob hauv cov neeg mob uas mob stroke ischemic. Hauv tsab xov xwm no, peb yuav tham txog kev sib koom ua ke ntawm kev siv cov ntshav txhaws ncaj qha thiab stent retriever thrombectomy, suav nrog cov tswv yim hloov pauv thiab cov txheej txheem Solumbra.
Direct Clot Aspiration
Direct clot aspiration yog siv ib tug catheter aspirate lub clot ncaj qha los ntawm lub occluded hlab ntsha. Cov txheej txheem no yog ib txoj hauv kev yooj yim thiab siv tau zoo rau kev tshem tawm cov hlab ntsha, tshwj xeeb tshaj yog rau cov pob me me, mos. Direct clot aspiration kuj tseem siv tau los ua cov txheej txheem cawm hauv cov xwm txheej uas stent retriever thrombectomy tsis ua tiav kev rov ua tiav.
Txawm li cas los xij, muaj qee qhov kev txwv rau kev ua kom cov ntshav txhaws. Cov txheej txheem yuav tsis ua haujlwm zoo rau cov hlab ntsha loj, tawv tawv lossis rau cov hlab ntsha uas nyob hauv cov hlab ntsha uas muaj tortuous. Tsis tas li ntawd, muaj kev pheej hmoo ntawm distal embolization thiab hlab ntsha raug mob yog tias lub catheter tsis zoo.
Stent Retriever Thrombectomy yog qhov zoo tshaj plaws
Stent retriever thrombectomy yog siv cov cuab yeej stent retriever los ntes thiab tshem tawm cov hlab ntsha. Cov txheej txheem no muaj ntau dua recanalization tus nqi tshaj qhov ncaj qha clot aspiration, tshwj xeeb tshaj yog rau loj, complex clots. Stent retrievers kuj tuaj yeem siv ua ke nrog kev nqus nqus kom tshem tawm cov hlab ntsha ntawm lub nkoj uas nyob.
Txawm li cas los xij, stent retrieval thrombectomy kuj muaj qee qhov kev txwv. Cov txheej txheem tuaj yeem siv sijhawm ntev, thiab muaj kev pheej hmoo ntawm kev raug mob ntawm cov hlab ntsha thiab lub plawv embolization yog tias tus stent retriever tsis zoo. Tsis tas li ntawd, cov txheej txheem yuav tsis muaj txiaj ntsig rau cov pob txha me me lossis ntau dua.
Kev sib xyaw ua ke
Kev sib xyaw ua ke ntawm kev mob ntshav siab ncaj qha thiab stent retriever thrombectomy muaj ntau qhov zoo dua li cov txheej txheem ib leeg. Siv ob txoj kev tso cai rau kev ua kom tiav ntawm cov hlab ntsha uas nyob hauv lub sijhawm luv dua, thiab nws ua rau muaj kev vam meej tag nrho ntawm cov txheej txheem. Ob lub tswv yim kuj ntxiv rau ib leeg, nrog rau kev ua rau cov hlab ntsha ncaj qha ua rau cov hlab ntsha me me, mos, thiab stent retriever thrombectomy ua tau zoo rau cov hlab ntsha loj dua.
Hloov Tswv Yim
Lub tswv yim hloov pauv yuav pib nrog kev ua rau cov ntshav txhaws ncaj qha thiab hloov mus rau stent retrieval thrombectomy yog tias cov ntshav tsis tau tshem tawm tag nrho. Txoj hauv kev no tso cai rau kev hloov pauv sai rau cov txheej txheem zoo dua yog tias cov txheej txheem pib ua tsis tiav. Tsis tas li ntawd, pib nrog kev mob ntshav siab ncaj qha tuaj yeem pab txo qis qhov kev pheej hmoo ntawm kev mob plawv thiab cov hlab ntsha puas tuaj yeem tshwm sim thaum stent retriever thrombectomy.
Solumbra Technique
Cov txheej txheem Solumbra yog ib txoj hauv kev tshwj xeeb rau kev siv sib xyaw ua ke ntawm cov hlab ntsha ncaj qha thiab stent retriever thrombectomy. Cov txheej txheem yuav tsum tau siv ib tug loj-bore aspiration catheter los ua direct clot aspiration, ua raws li los ntawm stent retriever thrombectomy rau cov seem seem. Cov txheej txheem Solumbra tau pom tias muaj txiaj ntsig zoo rau kev ua tiav kev rov ua tiav hauv cov neeg mob uas mob stroke ischemic tshwm sim los ntawm cov hlab ntsha loj.
Xaus
Kev sib xyaw ua ke ntawm kev siv cov hlab ntsha ncaj qha thiab stent retriever thrombectomy yog ib lub tswv yim zoo rau kev txhim kho cov txiaj ntsig ntawm cov txheej txheem thrombectomy hauv cov neeg mob uas mob ischemic stroke tshwm sim los ntawm cov hlab ntsha loj occlusion. Txoj hauv kev no tso cai rau kev ua kom tiav ntawm lub nkoj occluded nyob rau hauv lub sij hawm luv luv thiab nce tag nrho cov kev vam meej ntawm cov txheej txheem. Cov tswv yim hloov pauv thiab cov txheej txheem Solumbra yog cov txheej txheem tshwj xeeb rau kev siv ua ke ntawm ob txoj kev no uas tuaj yeem txhim kho kev ua tau zoo thiab kev ua tau zoo ntawm cov txheej txheem thrombectomy.