今天为大家带来的是《Neurosurgery》(中文版)神经损伤与重症分册第十期,由刘磊教授翻译并审校的“比较改良TICI 2b级和TICI 3级再灌注对机械祛栓治疗急性缺血性卒中的安全性和有效性”摘要,欢迎阅读、分享。
原文:
Comparative Safety and Efficacy of Modified TICI 2b and TICI 3 Reperfusion in Acute Ischemic Strokes Treated With Mechanical Thrombectomy
原文作者:
Nitin Goyal, MD1
Georgios Tsivgoulis, MD1,2
Donald Frei, MD3
Aquilla Turk, DO4
Blaise Baxter, MD5
Michael T. Froehler, MD, PhD6
J. Mocco, MD, MS7
Muhammad Fawad Ishfaq, MD1
Konark Malhotra, MD8
Jason J. Chang, MD1
Daniel Hoit, MD, MPH9
Lucas Elijovich, MD1,9
David Loy, MD, PhD3
Raymond D. Turner, MD4
Justin Mascitelli, MD7
Kiersten Espaillat, DNP6
Andrei V. Alexandrov, MD1
Adam S. Arthur, MD, MPH9
作者单位:
1.Department of Neurology, University of Tennessee Health Science Center, Memphis, Tennessee;
2.Second Department of Neurology, “Attikon University Hospital,” School of Medicine, National and Kapodistrian University of Athens, Athens, Greece;
3.Department of Interventional Neuroradiology, Radiology Imaging Associates, Englewood, Colorado;
4.Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina;
5.Department of Interventional Neuroradiology, Erlanger Hospital, Chattanooga, Tennessee;
6.Cerebrovascular Program, Vanderbilt University, Nashville, Tennessee;
7.Department of Neurosurgery, Mount Sinai Medical Center, New York, New York;
8.Department of Neurology, West Virginia University Charleston Division, Charleston, West Virginia;
9.Department of Neurosurgery, University of Tennessee Health Science Center and Semmes-Murphey Clinic, Memphis, Tennessee.
编译/审校:
刘磊
背 景
机械祛栓(Mechanical thrombectomy,MT)是急诊大血管闭塞(emergent large-vessel occlusions,ELVO)急性缺血性卒中(acute ischemic stroke,AIS)患者的现有治疗标准。ELVO成功再灌注的传统定义为改良的脑梗死溶栓(modified Thrombolysis in Cerebral Infarctionm,TICI)分级达2b级或3级。
目 的
方 法
在6个高容量中心行MT的连续ELVO患者被纳入本分析中。比较了在MT后发生mTICI 2b级和mTICI 3级再灌注的患者的安全性[3个月死亡率、症状性颅内出血(symptomatic intracranial hemorrhag,sICH)]和有效性[住院期间NIHSS评分的绝对和相对降低、功能改善(mRS评分的偏移分析)和3个月时功能独立性(mRS评分为0-2)]。
结 果
结 论
与mTICI 2b级再灌注相比,mTICI 3级再灌注成功与住院期间更大的神经功能改善和更好的3个月功能结局相关。