Stroke yog ib qho ua rau tuag thiab tsis taus thoob ntiaj teb. Nyob rau hauv xyoo tas los no, mechanical thrombectomy tau tshwm sim los ua kev kho mob zoo rau mob stroke ischemic tshwm sim los ntawm cov hlab ntsha loj occlusions. Txij li thaum Solumbra thev naus laus zis tau npaj rau xyoo 2012, SWIM thev naus laus zis tau dhau los ua ntau yam kev txhim kho, los ntawm ARTS thev naus laus zis hauv xyoo 2016, SAVE thev naus laus zis hauv 2018, mus rau niaj hnub SWIM thev naus laus zis, lub npe tag nrho ntawm SWIM thev naus laus zis yog Stent Retriever Combing With Intracranial Support Aspiration Catheter for Mechanical Thrombectomy. Ntawm cov txheej txheem ntau yam siv rau kev kho mob thrombectomy, SWIM tau txais koob meej vim nws txoj kev vam meej siab thiab cov txiaj ntsig zoo hauv kev kho mob. SWIM thev naus laus zis yog ua raws li stent thrombectomy raws li lub hauv paus pob zeb, ua ke nrog catheter aspiration kom paub txog kev kho mob dav dav ntawm ob lub tshuab ntawm stent grasping thiab catheter aspiration.
SWIM Technique
Cov txheej txheem SWIM suav nrog kev siv cov khoom siv sib xyaw ua ke kom tshem tawm cov thrombus ntawm lub nkoj occlusion. Cov txheej txheem pib nrog kev ntxig ntawm ib qho kev txhawb nqa intracranial catheter rau hauv lub nkoj cuam tshuam. Lub catheter ua haujlwm raws li kev qhia rau lwm yam khoom siv hauv cov txheej txheem.
Lub stent retriever yog navigated los ntawm lub catheter thiab muab tso rau hauv lub nkoj cuam tshuam thiab dhau ntawm qhov chaw ntawm occlusion. Tom qab ntawd lub stent yog deployed manipulating nws nthuav thiab ntes lub thrombus. Lub stent nrog rau lub thrombus yog ces rub rov qab mus rau hauv lub catheter thiab tshem tawm ntawm lub nkoj.
Ntxiv nrog rau cov stent retriever, SWIM txheej txheem kuj siv rau kev siv cov aspiration catheters. Cov catheters no yog siv los tshem tawm cov hlab ntsha uas tseem tshuav tom qab siv stent retriever. Lub aspiration catheter yog ntxig los ntawm cov lus qhia catheter thiab coj mus rau qhov chaw ntawm occlusion. Tsis zoo siab yog tom qab ntawd siv rau lub catheter, uas aspirates lub clot thiab tshem tawm ntawm lub nkoj.
Cov txiaj ntsig ntawm SWIM Technique
Cov txheej txheem SWIM muaj ntau yam txiaj ntsig dua lwm cov txheej txheem thrombectomy. Ua ntej, kev sib xyaw ntawm retriever stent thiab aspiration catheter xyuas kom meej tias feem ntau ntawm cov thrombus raug tshem tawm ntawm lub nkoj kom txo tau qhov kev pheej hmoo ntawm rov occlusion.
Qhov thib ob, kev siv lub catheter txhawb nqa intracranial muab kev txhawb nqa ntxiv thaum lub sijhawm ua haujlwm kom txo tau txoj kev pheej hmoo ntawm cov hlab ntsha raug mob. Qhov kev txhawb nqa no tseem tso cai rau kev nrawm dua thiab yooj yim dua ntawm cov stent retrieval thiab aspiration catheter los ntawm lub nkoj.
Thaum kawg, kev tshawb fawb soj ntsuam tau pom tias cov txheej txheem SWIM cuam tshuam nrog tus nqi siab ntawm kev ua tiav rov ua tiav thiab qis qis ntawm cov teeb meem. Qhov kev vam meej siab tuaj yeem txhim kho cov txiaj ntsig kev kho mob rau cov neeg mob, suav nrog txo qis kev tsis taus thiab txo qis kev tuag.
Cov txheej txheem SWIM sawv cev rau qhov kev xaiv zoo thiab muaj kev nyab xeeb rau kev kho mob ntawm ischemic mob stroke tshwm sim los ntawm cov hlab ntsha loj occlusions. Kev sib xyaw ua ke ntawm stent retriever thiab aspiration catheter nrog rau kev siv lub intracranial support catheter tau pom tias muab cov txiaj ntsig zoo nrog kev pheej hmoo tsawg. Yog li ntawd, cov txheej txheem SWIM tau dhau los ua qhov kev xaiv nrov ntawm cov kws kho mob neuroradiologist rau kev kho mob ntawm ischemic stroke.