Lee Ho-Cheol, Kang Dong-Hun, Hwang Yang-Ha, Kim Yong-Sun, Kim Yong-Won
Department of Neurology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
Department of Neurosurgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.; Department of Radiology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
Neurointervention. 2017 Mar;12(1):45-49. doi: 10.5469/neuroint.2017.12.1.45. Epub 2017 Mar 6.
Historical innovations in mechanical thrombectomy devices and strategies for ischemic stroke have resulted in improved angiographic outcomes and better clinical outcomes. Various devices have been used, but the two most common approaches are aspiration thrombectomy and stent-retrieval thrombectomy. Aspiration thrombectomy has advanced from the traditional Penumbra system to forced arterial suction thrombectomy and a direct aspiration first-pass technique. Newer generation aspiration catheters with flexible distal tips and a larger bore have demonstrated faster and better recanalization relative to older devices. Recently, several species of distal access catheters have similar structural characteristics to the Penumbra reperfusion catheter. Therefore, we used the distal access catheter for forced arterial suction thrombectomy in three patients with acute ischemic stroke. In each case, we achieved fast and complete recanalization without significant complications. Forced arterial suction thrombectomy using a distal access catheter might provide another option for mechanical thrombectomy in patients with acute ischemic stroke.
机械取栓装置的历史创新以及缺血性中风的治疗策略已带来更好的血管造影结果和临床结局。已使用了各种装置，但两种最常见的方法是抽吸取栓和支架取栓。抽吸取栓已从传统的Penumbra系统发展到强制动脉抽吸取栓和直接首次通过抽吸技术。与旧设备相比，新一代具有柔性远端尖端和更大内径的抽吸导管已显示出更快、更好的再通效果。最近，几种远端通路导管具有与Penumbra再灌注导管相似的结构特征。因此，我们对3例急性缺血性中风患者使用远端通路导管进行强制动脉抽吸取栓。在每种情况下，我们都实现了快速、完全再通，且无明显并发症。使用远端通路导管进行强制动脉抽吸取栓可能为急性缺血性中风患者的机械取栓提供另一种选择。
