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Efficacy of Solitaire AB stent-release angioplasty in acute middle cerebral artery atherosclerosis obliterative cerebral infarction

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World Journal of Clinical Cases 2021年第19期9卷 5028-5036页

作者： Xi-Feng Wang Ming Wang Gang Li Xue-Yu Xu Wei Shen Jing Liu Shuang-Shuang Xiao Jiang-Hong Zhou Department of Neurology Puai HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430033Hubei ProvinceChina

BACKGROUND In both national and international studies,the safety and effectiveness of treatment with the Solitaire stent in patients with ischemic stroke caused by acute large vessel occlusion were good,and the disability rate was significantly ***,there are currently only a few reports on the differences in endovascular treatment for different etiological classifications,especially in the anterior cranial circulation,aorta atherosclerotic stenosis,and acute *** To investigate the efficacy of Solitaire AB stent-release angioplasty in patients with acute middle cerebral artery atherosclerosis obliterative cerebral *** Twenty-five patients with acute middle cerebral atherosclerosis obliterative cerebral infarction were retrospectively enrolled in this study from January 2017 to December *** Solitaire AB stent was used to improve anterior blood flow to maintain modified cerebral infarction thrombolysis[modified thrombolysis in cerebral infarction(mTICI)]at the 2b/3 level or above,the stent was then unfolded and *** All 25 patients underwent successful surgery,with an average recanalization time of 23 *** patient died of cerebral hemorrhage and cerebral herniation after the *** National Institutes of Health Stroke Scale(NIHSS)scores immediately after surgery(7.5±5.6),at 24 h(5.5±5.6)and at 1 wk(3.6±6.7)compared with the preoperative NIHSS score(15.9±4.4),were significantly different(Patherosclerosis obliterative cerebral infarction,when the Solitaire AB stent is unfolded and the forward blood flow is maintained at mTICI level 2b/3 or higher,stent release may be a

关键词： Stent angioplasty atherosclerosis obliterative Acute cerebral infarction

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