Sofia远端通路导管抽吸术治疗急性动脉闭塞的效果

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (37 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the effect of Sofia distal access catheter aspiration in the treatment of acute arterial occlusion.Methods From January 2019 to June 2020,60 patients with acute arterial occlusion who received thrombectomy treatment in Jingdezhen No.1 People′s Hospital, Jiangxi Province were selected as the research objects. They were divided into the control group and the study group by the random number table method, with 30 cases in each group,and they were given stent thrombus removal treatment and Sofia distal access catheter aspiration treatment respectively.The surgical treatment, incidence of complications, the National Institutes of Health stroke scale (NIHSS) score, and the modified Rankin scale (MRS) score commonly used to judge the condition and disability by neurosurgeon and nurses were compared in the two groups. Results The time from puncture to successful recanalization in the study group was shorter than that in the control group ([14.30±2.10 vs. 29.55±4.56] min), the difference was statistically significant (P<0.05). There were on statistically significant differences in the time from onset to successful recanalization ([255.00±69.00 vs. 260.00±79.00] min), first-time success recanalization rate (73.33% vs. 63.33%), and proportions of DSA perfusion score (mTICI) 2b/3 (66.67% vs. 53.33%) and mTICI 3 (40.00% vs. 33.33%) between the study group and the control group (P>0.05). There was no significant difference in the total incidence of surgical complications between the study group and the control group (23.33% vs. 26.67%)(P >0.05). There was no significant difference in the NIHSS score before operation between the study group and the control group ([11.26±3.90 vs. 11.28±3.88] points)(P>0.05). The NIHSS scores of the two groups at 24 and 48 h after surgery were lower than those before surgery, and the differences were statistically significant (P<0.05). There were no statistically significant differences in the NIHSS scores at 24 h after surgery ([10.61±3.68 vs. 10.59±3.70] points) and 48 h after surgery ([9.85±3.44 vs. 9.87±3.42]points) between the study group and the control group (P>0.05). At 90 days postoperatively, there were 24 cases with MRS score <2 points and 6 cases with MRS score ≥2 points in the study group, and in the control group, 25 cases with MRS score <2 points, and 5 cases with MRS score ≥2 points, there was no significant difference in MRS score between the two groups (P>0.05). Conclusion After comparison of Sofia distal access catheter aspiration and stent thrombus removal, the safety and curative effect of the two procedures are similar. Both of them can effectively improve the neurological deficit and prognosis quality of patients. But the time from puncture to successful recanalization in the former is shorter, and the operation is simpler. In the clinical practice, the medical staff should make reasonable choices according to the actual situation of the patients.

Key words： Sofia distal access catheter Acute Arterial occlusion Thrombectomy therapy

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	JIANG Shun-fu
	HUANG Cheng-peng
	CAO Ming-hua
	WU Ming-chao
	ZOU Yong-zhou
	WANG Lu

Cite this article:

JIANG Shun-fu,HUANG Cheng-peng,CAO Ming-hua, et al. Effect of Sofia distal access catheter aspiration in the treatment of acute arterial occlusion[J]. 中国当代医药, 2021, 28(16): 4-7.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I16/4

[1]	雷毅，管文婷，冷硕，等.急性后循环缺血机械取栓研究现状与进展[J].介入放射学杂志，2020，29（2）：210-214.
[2]	史宗杰，郑素洁，张圣，等.血管内机械取栓治疗急性基底动脉闭塞的有效性和安全性研究[J].中华神经医学杂志，2018，17（2）：161-164.
[3]	查明明，李顺，蔡浩荻，等.急性大脑中动脉M2 段闭塞取栓治疗效果的初步分析[J].中国脑血管病杂志，2019，16（4）：192-196.
[4]	史宗杰，郑素洁，施天明，等.急性前循环大血管闭塞性脑卒中直接机械取栓与桥接治疗的疗效及安全性的对比研究[J].中华神经医学杂志，2018，17（10）：1003-1007.
[5]	Grieb D，Schlunz-Hendann M，Brinjikji W，et al.Mechanical thrombectomy of M2 occlusions with distal access catheters using ADAPT[J].J Neuroradiol，2019，46（4）：231-237.
[6]	王恩，刘玺昌，吴刚，等.Solitaire AB 支架机械取栓治疗急性基底动脉闭塞的疗效分析[J].中华神经医学杂志，2020，19（9）：897-901.
[7]	张斌升，韩红星，王浩，等.顺向、逆向开通技术在颈动脉串联闭塞致急性缺血性卒中治疗中的应用对比观察[J].山东医药，2019，59（30）：51-53.
[8]	Romano DG，Casseri T，Leonini S，et al.Single-center experience using the 3MAX or 4MAX reperfusion catheter for the treatment of acute ischemic stroke with distal arterial occlusions in patients not eligible for intravenous fibrinolysis[J].Radiol Med，2019，124（5）：408-413.
[9]	任斌，仝海波，王向阳.Solitaire 支架机械取栓治疗急性基底动脉闭塞的临床疗效分析（附五例报道）[J].中华神经医学杂志，2020，19（2）：120-124.
[10]	韩宗利，杜艳丽，万仁宽，等.Sofia 远端通路导管在急性前循环动脉闭塞取栓治疗中的初步应用[J].中国脑血管病杂志，2019，16（7）：368-372.
[11]	Crockett MT，Phillips TJ，Chiu AHY.Dual suction Headway27 microcatheter thrombectomy for the treatment of distal intracranial arterial occlusion strokes：initial experience with the micro-ADAPT technique[J].J Neurointerv Surg，2019，11（7）：714-718.
[12]	马浩源，赵岩，胡明，等.SOFIA 远端通路导管直接血栓抽吸和支架取栓治疗早期急性缺血性脑卒中疗效比较[J].中国神经精神疾病杂志，2020，46（4）：216-220.
[13]	杜世伟，李桂林，高鹏，等.支架联合中间导管接触性抽吸技术在急性大脑中动脉闭塞机械取栓中的应用[J].中国脑血管病杂志，2019，16（7）：362-367.
[14]	宋憧，金点石，李旭琴.远端通路导引导管在颅内动脉瘤栓塞术中的应用[J].中国医师进修杂志，2019，42（9）：826-828.
[15]	田卫东，刘祺，代林志，等.Solitaire AB 支架取栓联合Navien 导管抽吸治疗急性椎基底动脉闭塞临床研究[J].中华医学杂志，2019，99（19）：1494-1498