急性缺血性脑卒中患者在体外膜肺氧合下行机械取栓术。
Mechanical thrombectomy in acute ischemic stroke patients under venoarterial extracorporeal membrane oxygenation.
机构信息
Intensive Care, Pitié-Salpêtrière Hospital, Paris, France
Sorbonne Université, Paris, France.
出版信息
J Neurointerv Surg. 2020 May;12(5):486-488. doi: 10.1136/neurintsurg-2019-015407. Epub 2019 Nov 19.
BACKGROUND
Use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in adult patients to treat refractory cardiogenic shock has increased in recent years, and ischemic stroke is the most frequent VA-ECMO-induced cerebrovascular complication. No adult case of mechanical thrombectomy (MT) has been reported.
METHODS
Retrospective observational study of hospital medical records of patients who received circulatory support with VA-ECMO with acute ischemic stroke treated with MT, from 2006 to 2018.
RESULTS
Two adult patients on VA-ECMO with acute ischemic stroke treated with MT were found. Both cases were successfully treated.
CONCLUSION
These cases illustrate the feasibility of performing MT in adult patients on ECMO.
背景
近年来，使用体外膜肺氧合（VA-ECMO）治疗成人难治性心源性休克的情况有所增加，而缺血性卒中是 VA-ECMO 最常见的脑血管并发症。尚未有关于机械取栓术（MT）治疗成人 VA-ECMO 相关缺血性卒中的报道。
方法
回顾性观察性研究，纳入 2006 年至 2018 年期间接受 VA-ECMO 循环支持治疗并接受 MT 治疗的急性缺血性卒中患者的医院病历。
结果
发现 2 例接受 MT 治疗的 VA-ECMO 支持的急性缺血性卒中成年患者，均成功治疗。
结论
这些病例说明在 ECMO 支持的成年患者中进行 MT 的可行性。
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