Satti Sudhakar, Sivapatham Thinesh
Associate Chief, Neurointerventional Surgery, ChristianaCare.
Associate Director, Comprehensive Stroke Program, ChristianaCare.
Dela J Public Health. 2023 Aug 31;9(3):30-32. doi: 10.32481/djph.2023.08.007. eCollection 2023 Aug.
Mechanical thrombectomy (MT) is a minimally invasive, fluoroscopically guided procedure to remove clots from the arteries in the head and neck. The procedure can be performed very quickly and effectively, with low complication rates, as techniques and technology have advanced in recent years. MT is among the most efficacious procedures performed today, with a very low number needed to treat (NNT) to impact outcomes. Expanded indications for MT include patients with large core infarcts, extended time windows from stroke onset, more distal occlusions, and milder symptoms. Trials have shown a significant benefit of MT in terms of reduced disability in nearly every patient population studied.
机械取栓术（MT）是一种在荧光透视引导下的微创手术，用于清除头颈部动脉中的血栓。近年来，随着技术的进步，该手术可以非常快速有效地进行，并发症发生率低。MT是目前最有效的手术之一，对治疗效果产生影响所需的治疗人数（NNT）非常低。MT的适应症扩大，包括大面积核心梗死患者、卒中发作后的更长时间窗、更远端的闭塞以及症状较轻的患者。试验表明，在几乎所有研究的患者群体中，MT在减少残疾方面都有显著益处。
