支架取栓器会损伤 JET 7 再灌注导管吗？
Can a Stent Retriever Damage the JET 7 Reperfusion Catheter?
机构信息
From the Department of Neuroradiology (J.P.T.), National Neurosciences Institute, Singapore.
Division of Neurology (L.Y.).
出版信息
AJNR Am J Neuroradiol. 2020 Dec;41(12):2317-2319. doi: 10.3174/ajnr.A6804. Epub 2020 Oct 15.
Abstract
We encountered 2 separate instances of damage to JET 7 reperfusion catheters when they were used in conjunction with a stent retriever during mechanical thrombectomy. On both occasions, after 1 or 2 passes with a stent retriever, we found that the distal end of the catheter was frayed and it ballooned up on flushing with saline. This mechanical failure could potentially lead to serious complications; hence, it should be shared with fellow neurointerventionalists.
摘要
我们在机械血栓切除术中联合使用支架取栓器时遇到了 2 例 JET 7 再灌注导管损坏的情况。在使用支架取栓器通过 1 或 2 次后，我们发现导管的远端磨损，用生理盐水冲洗时会膨胀。这种机械故障可能会导致严重的并发症；因此，应该与神经介入医生分享。
相似文献
1
Can a Stent Retriever Damage the JET 7 Reperfusion Catheter?支架取栓器会损伤 JET 7 再灌注导管吗？
AJNR Am J Neuroradiol. 2020 Dec;41(12):2317-2319. doi: 10.3174/ajnr.A6804. Epub 2020 Oct 15.
2
JET 7 XTRA Flex reperfusion catheter related complications during endovascular thrombectomy.在血管内血栓切除术期间，JET 7 XTRA Flex 再灌注导管相关并发症。
J Neurointerv Surg. 2021 Apr;13(4):352-356. doi: 10.1136/neurintsurg-2020-016826. Epub 2020 Nov 23.
3
Adjustment of Stent Retriever Length to Clot Extent Affects First-Pass Reperfusion in Endovascular Treatment of Acute Ischemic Stroke.支架取栓长度的调整对急性缺血性脑卒中血管内治疗的首次再灌注的影响。
Cerebrovasc Dis. 2020;49(3):277-284. doi: 10.1159/000508028. Epub 2020 Jun 16.
4
First-Line Sofia Aspiration Thrombectomy Approach within the Endovascular Treatment of Ischemic Stroke Multicentric Registry: Efficacy, Safety, and Predictive Factors of Success.多中心登记研究中血管内治疗缺血性卒中的一线 Sofia 抽吸血栓切除术方法：疗效、安全性和成功的预测因素。
AJNR Am J Neuroradiol. 2019 Jun;40(6):1006-1012. doi: 10.3174/ajnr.A6074. Epub 2019 May 23.
5
Comparison of Aspiration versus Stent Retriever Thrombectomy as the Preferred Strategy for Patients with Acute Terminal Internal Carotid Artery Occlusion: A Propensity Score Matching Analysis.抽吸与支架取栓治疗急性终末颈内动脉闭塞患者的比较：倾向评分匹配分析。
AJNR Am J Neuroradiol. 2020 Mar;41(3):469-476. doi: 10.3174/ajnr.A6414. Epub 2020 Feb 13.
6
Mechanical Thrombectomy using Distal Access Catheters: Current Status and Future Prospects.经远端通路导管的机械血栓切除术：现状与未来前景。
J Neuroimaging. 2020 Nov;30(6):754-761. doi: 10.1111/jon.12793. Epub 2020 Nov 3.
7
Safety and Efficacy of the Sofia (6F) PLUS Distal Access Reperfusion Catheter in the Endovascular Treatment of Acute Ischemic Stroke. Sofia（6F）PLUS 远端接触再灌注导管在急性缺血性脑卒中血管内治疗中的安全性和有效性。
Neurosurgery. 2018 Mar 1;82(3):312-321. doi: 10.1093/neuros/nyx169.
8
Efficacy of Mechanical Thrombectomy Using Stent Retriever and Balloon-Guiding Catheter.使用支架取栓器和球囊引导导管进行机械取栓的疗效
Cardiovasc Intervent Radiol. 2018 May;41(5):699-705. doi: 10.1007/s00270-018-1901-8. Epub 2018 Feb 21.
9
The ANTRACK Technique: Employing a Compliant Balloon or Stent Retriever to Advance a Large-Bore Catheter to an Occlusion During Thrombectomy Procedures in Acute Stroke Patients.ANTRACK 技术：在急性脑卒中患者取栓术中，采用顺应性球囊或支架取栓器将大口径导管推进至闭塞部位。
Oper Neurosurg (Hagerstown). 2019 Jun 1;16(6):692-699. doi: 10.1093/ons/opy202.
10
Optimizing endovascular stroke treatment: removing the microcatheter before clot retrieval with stent-retrievers increases aspiration flow.优化血管内卒中治疗：使用支架取栓器取栓前撤回微导管可增加抽吸流量。
J Neurointerv Surg. 2017 May;9(5):459-462. doi: 10.1136/neurintsurg-2016-012319. Epub 2016 Apr 15.
引用本文的文献
1
Vessel Rupture Complication due to Ballooning of the Distal Segment of a JET 7 Xtra Flex Reperfusion Catheter during Angiogram.血管造影期间JET 7 Xtra Flex再灌注导管远端节段球囊扩张导致的血管破裂并发症
J Neuroendovasc Ther. 2022;16(4):218-224. doi: 10.5797/jnet.cr.2021-0062. Epub 2021 Sep 9.
2
AXS Vecta 0.071-0.074 Inch Aspiration Catheters for Mechanical Thrombectomy: Case Series and Literature Review.用于机械取栓的AXS Vecta 0.071 - 0.074英寸抽吸导管：病例系列及文献综述
Neurointervention. 2023 Mar;18(1):47-57. doi: 10.5469/neuroint.2022.00283. Epub 2022 Nov 4.
3
How much safety is actually 'safe'? Commentary on 'Safety of the Apollo Onyx delivery microcatheter for embolization of brain arteriovenous malformations: results from a prospective post-market study' by Meyers .究竟多少安全性才算“安全”？迈尔斯对《阿波罗奥尼克斯输送微导管用于脑动静脉畸形栓塞术的安全性：一项上市后前瞻性研究的结果》的评论
J Neurointerv Surg. 2021 Oct;13(10):e22. doi: 10.1136/neurintsurg-2021-018052. Epub 2021 Sep 7.
本文引用的文献
1
Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association.急性缺血性脑卒中患者早期管理指南：2018 年急性缺血性脑卒中早期管理指南的更新：美国心脏协会/美国卒中协会发布的医疗保健专业人员指南。
Stroke. 2019 Dec;50(12):e344-e418. doi: 10.1161/STR.0000000000000211. Epub 2019 Oct 30.
2
Stent-retriever assisted vacuum-locked extraction (SAVE) versus a direct aspiration first pass technique (ADAPT) for acute stroke: data from the real-world.急性卒中的支架取栓辅助真空锁定抽吸取栓术（SAVE）与直接首次抽吸技术（ADAPT）：来自真实世界的数据。
BMC Neurol. 2019 Apr 15;19(1):65. doi: 10.1186/s12883-019-1291-9.
3
Aspiration thrombectomy versus stent retriever thrombectomy as first-line approach for large vessel occlusion (COMPASS): a multicentre, randomised, open label, blinded outcome, non-inferiority trial.抽吸血栓切除术与支架取栓术作为血管内治疗大动脉闭塞（COMPASS）的一线治疗方法：一项多中心、随机、开放标签、盲法结局、非劣效性试验。
Lancet. 2019 Mar 9;393(10175):998-1008. doi: 10.1016/S0140-6736(19)30297-1.
4
Maximizing First-Pass Complete Reperfusion with SAVE.利用SAVE实现首次通过完全再灌注最大化。
Clin Neuroradiol. 2018 Sep;28(3):327-338. doi: 10.1007/s00062-017-0566-z. Epub 2017 Feb 13.
Zotero 插件