Emergency neuroendovascular revascularization for acute ischemic stroke patients with absolute contraindication to intravenous rtPA or those with severe neurological status

要旨：【背景および目的】頭蓋内内頸動脈塞栓性閉塞に対する二連吸引手技 (RAT) を用いた緊急機械的血栓除去術 (EME) の有用性を明らかにする．【方法】当院入院の急性期虚血性脳血管障害連続 1105 例中の EME 実施例を対象とし，背景因子，併用手技，成績を検討するとともに，RAT 導入前後での成績を比較する．【結果】 EME は 8 例で実施され全例 rtPA 静注禁忌であった．RAT 導入後の 5 例中 3 例では併用手技なしに完全再開通を得たが，残りの 5 例では血栓把持術と血管拡張術を併用した．大量血栓回収，backflow 出現，完全再開通は， RAT 導入前の 3 例では 1，0，0 例，RAT 導入後の 5 例では 5，5，4 例にみられた．重篤な合併症や症候性頭蓋内出血はなく，RAT 導入後の完全再開通 4 例は予後良好 (modified Rankin scale ≦ 2) であった．【結論】頭蓋内内頸動脈塞栓性閉塞に対する RAT を用いた EME は有用である． Key words：emergency mechanical embolectomy, suction thrombectomy, emergency neuro-endovascular revascularization, running aspiration technique, ICA embolic occlusion (脳卒中 32：447-454，2010) 脳卒中 32 巻 5 号(2010：9) 32：448

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Emergency neuroendovascular revascularization for acute ischemic stroke patients with absolute contraindication to intravenous rtPA or those with severe neurological status

Cited by 2 publications

References 19 publications

Emergent endovascular arterial reconstruction for intravenous t-PA unresponsive acute stroke patients

Emergent endovascular arterial reconstruction for intravenous t-PA unresponsive acute stroke patients

Emergency mechanical embolectomy with running aspiration technique for acute embolic occlusion of the distal internal carotid artery

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