Search

Objective To evaluate the effect of acute arterial ischemic stroke patients with atrial fibrillation in embolectomy and thrombolytic therapy with intravenous rt-PA which benefit more. Methods Consecutive patients from January 2012 to December 2016 to the Baotou Central Hospital for treatment of acute ischemic stroke with atrial fibrillation. The study group included direct arterial embolectomy and thrombolysis interventional therapy bridging collected 20 cases; the control group received intravenous thrombolysis group. According to the patient treatment group, compared with the general situation, the history of stroke risk factors, onset to treatment time, admission, immediately after surgery, postoperative 24h, postoperative 72h NIHSS score, 90dmRS score, complications, mortality and other indicators, evaluation for arteries from Suppository, intravenous thrombolysis bridged endovascular treatment, curative effect, simple intravenous thrombolysis and three treatment safety, nerve function recovery of patients.Results 68 cases with atrial fibrillation were recruited, the study group of 34 cases, 24 cases were selected into the thrombectomy group, 10 cases were bridging group (intravenous thrombolysis bridging artery stent thrombectomy), the control group of 34 cases, 2 cases were lost, 32 cases were effective. The results showed that no significant difference between the two group survival of patients, the difference was not statistically significant. Excluding the preoperative NIHSS score u22647 cases, results showed that the two groups had no significant difference in the survival of patients. Conclusion With atrial fibrillation in patients with AIS artery embolectomy and thrombolytic therapy can benefit. But no obvious benefit in bridging artery embolectomy intravenous thrombolytic therapy.

Objective This study aims to analyse the causes of complications of acute ischemic stroke mechanical thrombectomy treatment. Methods 115 patients data were collected from with acute ischemic stroke treated with Solitaire AB stent mechanical embolization from January 2013 to December 2016 in Baotou Central Hospital Department of Neurology (Including intravenous thrombolysis after bridging mechanical thrombectomy, mechanical embolization compound arterial thrombolysis, balloon dilatation, stent implantation and other treatment ). Results Among the 115 cases of mechanical thrombectomy, 41 cases (35.65%) were complicated. There was no significant difference in the incidence of complications between different occlusive vessels; The incidence of complications in mechanical thrombectomy alone IS 35%uff0814/40uff09uff0ccompound embolization mechanical thrombectomy IS 36%uff0827/75uff09uff0cThe incidence of complications was statistically analyzed by chi-square testuff0cThe difference was not statistically significantuff08Puff1e0.05uff09. Conclusion The incidence of complications of anterior circulation mechanical thrombectomy is higher but there was no significant difference in the incidence of complications anterior and posterior circulation.There was no significant difference between the two groups in the occurrence of complications on mechanical thrombectomy alone and compound embolization mechanical thrombectomy,security is similar.

Objective This study aims to analyse the causes of complications of acute ischemic stroke mechanical thrombectomy treatment. Methods 115 patients data were collected from with acute ischemic stroke treated with Solitaire AB stent mechanical embolization from January 2013 to December 2016 in Baotou Central Hospital Department of Neurology (Including intravenous thrombolysis after bridging mechanical thrombectomy, mechanical embolization compound arterial thrombolysis, balloon dilatation, stent implantation and other treatment ). Results Among the 115 cases of mechanical thrombectomy, 41 cases (35.65%) were complicated. There was no significant difference in the incidence of complications between different occlusive vessels; The incidence of complications in mechanical thrombectomy alone IS 35%uff0814/40uff09uff0ccompound embolization mechanical thrombectomy IS 36%uff0827/75uff09uff0cThe incidence of complications was statistically analyzed by chi-square testuff0cThe difference was not statistically significantuff08Puff1e0.05uff09. Conclusion The incidence of complications of anterior circulation mechanical thrombectomy is higher but there was no significant difference in the incidence of complications anterior and posterior circulation.There was no significant difference between the two groups in the occurrence of complications on mechanical thrombectomy alone and compound embolization mechanical thrombectomy,security is similar.