Hauv kev kho cov kev kho mob neurointervional kho, kho mob kho mob endeascular ntawm mob ischemental stroke yog ib qho tseem ceeb txhais tau tias yog cov neeg mob. Raws li ob qho tseem ceeb canderers thiab thrombectomy stent expievers ua lub luag haujlwm tseem ceeb hauv kev qhib cov ntshav thiab rov qab cov ntshav hauv qab zib. Txawm li cas los xij, yuav ua li cas thiaj li tsim nyog xaiv cov candreters thiab threntomuly stent retievers raws cov neeg mob yog ib qho chaw kuaj mob tseem ceeb uas tau pom los ntawm cov kws kho mob tseem ceeb.
I. Cov yam ntxwv thiab kev thov ntawm kev tos Catheter
Cov yam ntxwv: Qhov kev tos Catheter ncaj qha muab rho tawm thrombus los ntawm cov hlab ntshav los ntawm lub hauv paus ntsiab lus ntawm kev sib cav sib nqus. Nws cov txiaj ntsig yog qhov kev ua haujlwm yooj yim, lub sijhawm ua haujlwm tsis txaus, thiab kev pheej hmoo ntawm cov teeb meem ntshav yog xws li vejular disection thiab perforation yog txo. Tsis tas li ntawd, rau qee qhov muag thiab tshiab Catheter muaj peev xwm ua tiav zoo dua thrombus tshem tawm cov txiaj ntsig. Qee tus neeg sib txuas lus muaj kev sib tw zoo thiab tuaj yeem hu tau qhov zoo nkauj uas tsis tsim nyog lossis nqaim cov hlab ntsha.
Muaj qee qhov xwm txheej:
1. Cov roj ntsha me me: hauv qee cov nkoj me me, xws li Catriger Cathet rau kev nkag mus rau hauv cov leeg ntshav, ua rau muaj kev puas tsuaj rau cov nkoj me me. Thrombi hauv cov nkoj me me feem ntau yog me me hauv qhov loj me, thiab kev tos catheter muaj peev xwm ua tau zoo lawv tawm thiab rov ua kom zoo nkauj.
2. Phau ntawv tshiab: Rau cov neeg mob uas muaj lub sijhawm luv luv hnub nyoog (feem ntau nyob rau hauv ob peb teev), lub thrombi yog xoob thiab tshiab. Nyob rau lub sijhawm no, qhov tsis zoo siab nqus tau cov nyhuv ntawm kev tos catheter tau ntau dua li tau tshem tawm thrombi. Piv txwv li, tsis pub dhau 3-4. 5 teev ntawm qhov pib ntawm cov nqaij hlav loj heev, yog li rov qab kho dua catheter cerebral ntws.
Ii. Cov yam ntxwv thiab cov ntawv thov ntawm Thrombectomy stent retriever
Characteristics: The thrombectomy stent retriever is released to the thrombus site, fits tightly with the thrombus, and then removes the stent together with the thrombus. Nws qhov tseeb tau yog tias nws muaj kev sib zog muaj zog rau qhov loj dua thiab nyuaj rau qhov ua tau zoo dua. Tus qauv tsim ntawm ThrombectS Stent Retriever tuaj yeem hloov kho cov kab sib txawv sib txawv thiab qhia tau zoo dua thascular qhov txhab. Tsis tas li ntawd, tom qab tshem tawm cov thrombus, cov thrombectomy stent retriever tseem tuaj yeem ua ib lub luag haujlwm ntawm cov hlab ntshav, uas pab tswj cov hlab ntshav ntawm cov hlab ntshav.
Muaj qee qhov xwm txheej:
1. Loj rau lub nkoj loj: rau qhovclusion ntawm cov hlab ntsha loj xws li lub davhlau ya nyob twg, cov pob zeb hauv nruab nrab tau muab tshem tawm loj loj tawg. Lub Ummi nyob rau hauv cov chaw no feem ntau yog nyuaj rau kev ntxhib los mos, thiab kev tos catheter yuav nyuaj rau tshem tawm kiag li. Lub pob thromotomy stent retriever tuaj yeem daws tau cov teeb meem no zoo dua thiab txhim kho txoj kev sib tw vascular refanalization.
2. Ntev los yog cov laus thrombi: Thaum tus thrombus tau tsim ib qho nyuaj, cov xibqhu tau stent retriever tuaj yeem tuav lub pasbus zoo dua thiab tshem nws. Piv nrog rau qhov kev tos Catheter, cov xib teb uas cuam tshuam stent retriever muaj txiaj ntsig zoo rau kev kho cov hom thrombus no.
3. Lub qhov txhab nrog vascular stenosis: nyob rau qee kis uas Thrombat Acciever, tab sis kuj tseem ua rau cov hlab ntshav, tab sis kuj tseem yuav muaj kev pheej hmoo ntawm thrombus kev rov ua dua.
Hauv kev phais mob neurointlectional, kev tos candeters thiab thrombectomy stent expievers txhua yam muaj lawv tus yam ntxwv thiab siv cov xwm txheej. Cov kws kho mob neurointervion xav tau kev txiav txim siab ntau yam xws li cov yam ntxwv ntawm tus neeg mob, thiab cov kev xaiv tsim nyog rau tus neeg mob. Cov kev xaiv tsim nyog tsis tuaj yeem tsuas yog nce tus nqi ntawm vascular rechanalization thiab txhim kho tus neeg mob ua kev pheej hmoo ntawm kev phais mob. Nrog rau kev txhim kho kev ua lag luam neurointervional, cov tswv yim zoo dua thiab cov kev kho mob yuav tshwm sim ntxiv kev kho mob ntawm kev mob plab hnyuv qa.