国产 RECO 支架应用于急性后循环梗死血管内治疗单中心研究.

Objective To observe the short-term efficacy of domestic RECO stent used in endovascular treatment of acute posterior circulation infarction, and to analyze the factors affecting the prognosis of patients. Methods The clinical data of 148 patients with acute posterior circulatory infarction who used domestic RECO stents and Solitaire stents for endovascular treatment admitted to The First Department of Neurosurgery, Tieling Central Hospital from December 2018 to October 2020 were analyzed retrospectively. The recanalization of the blood vessels in patients with two different thrombectomy stents were observed, and the mRS score of patients after 3 months were counted. After 3 months, patients with mRS scores of 0-2 were classified as the good prognosis group, and patients with mRS scores of 3-6 were classified as the poor prognosis group. The general clinical data of the two groups of patients with good and poor prognosis using domestic RECO stents were compared. The relevant factors that may affect the prognosis of patients were analyzed. And the clinical effect of using other stents in the same period for emergency postertor-circulation embolectomy were compared. Results Among 98 patients with acute posteriorcirculatory infarction using domestic RECO embolization stent, 90 were recanalized and 8 were not recanalized. After 3 months, the mRS score showed good prognosis group was 60 cases, and poor prognosis group was 38 cases. There were 50 patients with acute posterior circulation infarction, 45 patients with recanalization, 5 patients without recanalization, 3 patients with postoperative death, 31 patients with good prognosis and 19 patients with poor prognosis after 3 months of mRS score. There was no significant difference in the short-term efficacy of domestic RECO stent used in the treatment of acute posterior circulation infarction compared with Solitaire stent (P ＞ 0. 05). After analyzing the related factors that may lead to poor prognosis of patients who use domestic RECO stents to remove thrombi,it is concluded that PC-ASPECTS score at admission,collateral compensation,NIHSS score at admission,time from onset to femoral artery puncture,times of thrombus removal,and whether diabetes are associated with the related factors that affect the prognosis of patients. Conclusions The domestic RECO stent used in the endovascular treatment of acute posterior circulation infarction has a significant short-term effect. The higher the patient's PC-ASPECTS score,the better the collateral compensation,the lower the NIHSS score at admission,and the shorter the time from onset to femoral artery puncture. The near-term prognosis is better. [ABSTRACT FROM AUTHOR]