1. Thrombectomy nrog stent retriever: Lub stent retrieval rau cov neeg kho tshuab tshem tawm ntawm emboli nyob rau hauv cerebral ischemia yog ib tug tsim zoo ib yam li lub raj mis qhib, thiab muaj zog chimerism rau thrombus. Txawm li cas los xij, tus nqi ntawm kev ua tiav rov qab tau zoo dua qub nrog cov tiam tshiab ntawm cov khoom siv thrombectomy. Ntawm lawv, tus yuam sij rau stent thrombectomy thev naus laus zis yog kom ua tiav kev sib koom ua ke zoo dua ntawm stent thiab thrombus los ntawm kev txhim kho thiab txhim kho tus nqi ntawm vascular recanalization. Push-rub tawm thev naus laus zis thiab kev tso tawm thev naus laus zis zoo yog ib txoj hauv kev kom ua tiav qhov no. Tsis tas li ntawd, rau thrombus nrog hnyav load thiab nws qhov chaw bifurcation, ob chav stent thev naus laus zis kuj tau thov, tab sis kev saib xyuas yuav tsum tau them rau qhov ua rau muaj kev puas tsuaj rau phab ntsa ntawm cov hlab ntsha. Hauv kev xaus, tus neeg teb xov tooj yuav tsum xav txog yuav ua li cas txhawm rau txhim kho kev sib koom ua ke ntawm lub stent thiab thrombus thaum siv stent retrieval, thiab xyuam xim rau txo cov kev puas tsuaj rau phab ntsa ntawm lub nkoj.
2. Cov txheej txheem aspiration thrombectomy: Tus yuam sij rau aspiration catheter thrombectomy cov txheej txheem yog ua kom lub zog aspiration ntawm lub aspiration catheter ntawm thrombus. Cov nyhuv aspiration nyob ntawm qhov txheeb ze ntawm lub thrombus thiab lub zog aspiration ntawm lub catheter. Txoj kev xav, cov txheej txheem catheter aspiration thrombectomy tuaj yeem txo qhov kev txiav ncaj qha thiab rub cov hlab ntsha puas tsuaj los ntawm thrombus stent retriever, thiab txo cov teeb meem ntawm kev kho mob endovascular. Rau thrombus embolism nrog hnyav load thiab tawv zoo nkauj, ncaj aspiration yuav zoo dua. Nyob rau hauv xyoo tas los no, yuav ua li cas nce catheter aspiration thaum tsis txhob thrombus khiav, cov tswv yim tshiab aspiration tau tshwm sim. Piv txwv li, cov txheej txheem ob-catheter aspiration siv lub balloon-guided catheter los kaw qhov ze ze, thiab tom qab ntawd muab lub aspiration catheter rau ntawm qhov kawg ntawm lub thrombus, tshem tawm thaum lub siab zoo. Thaum siv cov tswv yim aspiration, nws yog ib qho tsim nyog yuav tsum paub cov tswv yim kho tau zoo, xws li kev cuam tshuam nrog kev ntxhov siab nyuaj los ntawm thrombus khiav. Aspiration catheters nrog ntau qhov sib txawv lumen tuaj yeem siv rau thrombus nyob rau hauv ntau qhov chaw vascular, thiab tib lub sijhawm, yuav tsum tau them nyiaj rau qhov kev pheej hmoo ntawm vascular rupture thiab hemorrhage uas yuav tshwm sim vim thrombus hloov chaw. Nyob rau hauv xyoo tas los no, qhov zoo thiab qhov tsis zoo ntawm aspiration thrombectomy thiab stent retriever thrombectomy tau dhau los ua lub ntsiab lus kub hauv thaj tsam ntawm neurointervention. Cov kev tshawb fawb cuam tshuam tau pom tias tsis muaj qhov sib txawv tseem ceeb hauv kev ua haujlwm ntawm kev ua haujlwm ntawm aspiration thrombectomy thiab stent thrombectomy.
3. Stent thrombectomy ua ke nrog aspiration thrombectomy: Stent thrombectomy thiab aspiration thrombectomy yog ob txoj kev siv thrombectomy, uas tuaj yeem siv ua ke los txhim kho kev ua haujlwm ntawm kev tshem tawm thrombus. Cov kev tshawb fawb tau pom tias qhov kev ua tau zoo ntawm cov stent retriever ua ke nrog aspiration thrombectomy yog siab dua li ntawm aspiration thrombectomy lossis stent thrombectomy ib leeg. Cov txheej txheem stent ua ke aspiration thrombectomy tuaj yeem muab faib ua ntau txoj hauv kev raws li seb qhov nruab nrab catheter kov lossis hla lub thrombus thiab qhov txawv ntawm qhov tsis zoo siab aspiration ua haujlwm. Ntawm lawv, cov lus qhia liab qab BWT thev naus laus zis tuaj yeem ua rau kom muaj zog ntawm qhov nruab nrab catheter thiab txhim kho kev ua haujlwm ntawm thrombus tshem tawm. Qhov sib thooj balloon occlusion ua ke nrog thrombus aspiration technology tuaj yeem tiv thaiv cov thrombus los ntawm kev khiav mus rau lwm cov hlab ntsha. SAVE thev naus laus zis siv cov stent-pab tsis zoo rau kev kaw qhov thrombectomy. SWIM thev naus laus zis siv cov catheter nruab nrab hauv tsev thiab thrombectomy stent. DAT thev naus laus zis siv ob txoj kev aspiration, thiab qhov ua tau zoo ntawm thrombus tshem tawm yog siab dua. ADVANCE thev naus laus zis muab kev txhawb nqa distal DAC catheter thiab qhov tsis zoo siab aspiration kom tshem tawm thrombus. Cov nyhuv zoo dua. Cov txheej txheem rov qab ib nrab rov qab tuaj yeem txo cov thrombus khib nyiab thiab kev puas tsuaj rau phab ntsa ntawm cov hlab ntsha. Nyob rau hauv xyoo tas los no, thrombectomy thev naus laus zis tau pib siv rau occlusion thiab recanalization ntawm cov hlab ntsha distal, thiab nws yog ib qho tsim nyog yuav tsum tau tsom mus rau kev soj ntsuam cov kev pheej hmoo thiab cov txiaj ntsig ntawm thrombectomy kom tsis txhob muaj teeb meem. Ntawm lawv, BEMP thev naus laus zis yog ib txoj hauv kev ntawm stent retrieval ua ke nrog aspiration thrombectomy, uas tuaj yeem txhim kho tus nqi recanalization ntawm distal hlab ntsha occlusion. BADDASS thev naus laus zis hais txog lub tswv yim ntawm lub zais pa catheter, qhov loj-inch distal nkag catheter, muab ob npaug rau aspiration thiab stent retrieval, uas muaj ntau dua thrombectomy efficiency, tab sis nws tsis haum rau thrombectomy los ntawm lub vertebrobasilar system thiab radial artery mus kom ze.