Stent thrombectomy thiab catheter aspiration thrombectomy feem ntau yog siv los kho mob intracranial loj occlusion. Txawm li cas los xij, stent thrombectomy muaj qhov tsis zoo ntawm thrombus fragmentation, vascular endothelial puas thiab ib nrab tsis muaj peev xwm rov ua dua thaum kho. Catheter aspiration thrombectomy muaj peev xwm qis dua los qhib cov hlab ntsha thaum kho dua li stent thrombectomy, tab sis nws tuaj yeem txo qhov kev pheej hmoo ntawm thrombus khiav mus rau qhov chaw nyob deb thiab ua rau cov phab ntsa vascular puas. Qee cov kws tshawb fawb tau kawm stent thrombectomy thiab intermediate catheter ua ke nrog stent thrombectomy.
Stent thrombecty, cov txheej txheem tshwj xeeb yog txhawm rau txhawm rau cov leeg ntshav hauv qab ntawm cov kab mob ntshav, thiab ntxig rau cov leeg ntshav, thiab ntxig rau cov leeg ntshav, thiab ntxig rau cov leeg ntshav, micro-guidewire thiab micro-catheter, muab cov stent tso rau hauv qhov chaw occluded, thiab siv lub micro-catheter rau ib nrab rov qab cov stent thiab ces tshem tawm cov thrombus tom qab tso nws rau 5 feeb.
Intermediate catheter aspiration ua ke nrog stent thrombectomy, txoj kev tshwj xeeb yog siv cov stent kom xa cov catheter nruab nrab mus rau qhov kawg ntawm cov thrombus nyob rau hauv lub hauv paus ntawm stent thrombectomy yooj yim, kaw qhov nruab nrab catheter rau flushing, siv ib tug syringe los tswj cov ntshav. rov qab aspiration xeev thiab maj mam txav lub aspiration catheter rau pem hauv ntej.
Los ntawm cov ntaub ntawv kho mob, nws pom tau tias piv stent thrombectomy nrog nruab nrab catheter aspiration ua ke nrog stent thrombectomy, intermediate catheter aspiration ua ke nrog stent thrombectomy muaj cov hauv qab no zoo:
1. Qhov nruab nrab catheter aspiration ua ke nrog stent thrombectomy muaj tus nqi siab ntawm vascular recanalization hauv kev kho mob cerebral infarction, txo qhov kev pheej hmoo ntawm cerebral hemorrhage;
2. Lub catheter nruab nrab ua rau lub sijhawm ua haujlwm luv, txo cov kev ua haujlwm thrombectomy, thiab zam kev puas tsuaj rau cov hlab ntsha endothelium los ntawm kev ua haujlwm ntev thiab rov ua haujlwm thrombectomy;
3. Qhov kev pheej hmoo ntawm cerebral hemorrhage tshwm sim los ntawm lub sijhawm ntev vascular recanalization raug txo, thiab qhov tshwm sim ntawm cov xwm txheej tsis zoo xws li cerebral hemorrhage thiab thrombus khiav hauv cov neeg mob raug txo.
Hauv cov ntsiab lus, kev siv tshuaj kho mob ntawm qhov nruab nrab catheter aspiration ua ke nrog stent thrombectomy rau kev kho mob cerebral infarction zoo txhim kho qhov kev vam meej ntawm vascular recanalization, txo lub sijhawm ua haujlwm, muaj txiaj ntsig zoo rau kev kuaj mob, thiab muaj kev nyab xeeb zoo.