Endovascular mechanical thrombectomy yog ib txoj kev kho mob tshiab uas tau siv dav hauv cov neeg mob stroke. Mechanical thrombectomy yog ib txoj hauv kev uas cuam tshuam rau cov hlab ntsha femoral, hla cov khoom siv thrombectomy los ntawm cov hlab ntsha mus rau qhov chaw ntawm vascular occlusion, thiab tom qab ntawd dhau los ntawm cov hlab ntsha occluded kom tshem tawm cov thrombus los ntawm cov khoom siv thrombectomy lossis thrombectomy catheter los kho. ntshav khiav hauv cov hlab ntsha.
Cov neeg mob twg yog qhov tsim nyog rau intravascular mechanical thrombectomy?
1. Rau cov neeg mob uas mob stroke ischemic tshwm sim los ntawm occlusion ntawm M1 ntu ntawm nruab nrab cerebral artery thiab carotid hlab ntsha, yog tias MRS ua ntej pib yog> 1 point, ASPECTS < 6 cov ntsiab lus lossis NIHSS qhab nia < 6 cov ntsiab lus, intravascular mechanical thrombectomy tuaj yeem xaiv tau tom qab ua tib zoo txheeb xyuas cov txiaj ntsig-kev pheej hmoo.
2. Yog hais tias qhov yuav tsum tau ua ntawm cov hlab ntsha thrombolysis thiab arterial thrombectomy tau ntsib tib lub sijhawm, cov hlab ntsha thrombolysis ua ke nrog arterial thrombectomy tuaj yeem siv los ua kev kho mob sib txuas.
3. Rau cov neeg mob uas mob stroke ischemic tshwm sim los ntawm occlusion ntawm anterior cerebral artery, vertebral artery, basilar artery thiab M2 ntu ntawm nruab nrab cerebral hlab ntsha.
4. Rau cov neeg mob tandem lesions nrog ob leeg intracranial thiab extracranial vascular occlusions.
Yav dhau los, ntau qhov kev tshawb fawb sim tau lees paub cov txiaj ntsig ntawm endovascular thrombectomy hauv cov neeg mob uas muaj qee hom mob stroke, tshwj xeeb tshaj yog cov uas tshwm sim los ntawm cov hlab ntsha loj occlusion thiab cuam tshuam rau thaj tsam loj hauv paus infarction. Cov neeg mob no feem ntau mob hnyav thiab xav tau kev kho mob xwm txheej ceev kom txo tau cov ntaub so ntswg puas hlwb, thiab endovascular thrombectomy tau raug pov thawj los muab kev kho mob zoo rau cov neeg mob no los ntawm kev tshem tawm cov thrombus sai thiab kho cov ntshav ntws.
Qee cov kws tshawb fawb tau ua qhov kev ntsuam xyuas kev kho mob stroke loj los kawm txog kev ua tau zoo thiab kev nyab xeeb ntawm endovascular thrombectomy ntxiv rau kev kho mob hauv cov neeg mob uas muaj mob stroke tshwm sim los ntawm anterior ncig cov hlab ntsha loj occlusion thiab thaj chaw loj hauv paus infarction. Kev sim tau pom tias endovascular thrombectomy ua ke nrog kev kho mob ua rau muaj kev ua haujlwm zoo dua qub thiab kev tuag tsawg dua li kev kho mob ib leeg hauv cov neeg mob uas muaj mob stroke uas muaj qhov sib thooj loj-ntev occlusion thiab lub hauv paus loj infarct (tsis muaj qhov txwv siab). Txawm li cas los xij, txoj hauv kev kho mob no tseem cuam tshuam nrog cov txheej txheem teeb meem thiab tuaj yeem ua rau muaj qhov tshwm sim ntawm cov tsos mob intracerebral hemorrhage.
Hauv cov ntsiab lus, nrog kev nce qib ntawm kev kho mob thev naus laus zis, kev cuam tshuam kev kho mob nrog intravascular mechanical thrombectomy tau siv ntau dua, thiab kev ua kom tawg tau tas li ua rau cov tsos mob thiab cov neeg mob tsim nyog rau kev kho mob.