Research progress of mechanical thrombectomy in acute anterior circulation large vessel occlusion

doi:10.3877/cma.j.issn.2095-9141.2024.02.009

Abstract

Abstract:

Acute ischemic stroke has the characteristics of high incidence, high mortality, high recurrence rate, etc. Among them, the proportion of large vessel occlusion is increasing year by year, and due to anatomical and other related factors, the rate of anterior circulation lesions can be as high as 60% or more. Acute anterior circulation large vessel occlusion has complex causes and diverse forms of lesions. With the development of modern medicine, mechanical thrombectomy has gradually become the dominant recanalization method for large vessel occlusion due to its high recanalization rate and high prognosis rate. This article provides a review of different mechanical thrombectomy methods in recent years to provide a basis for clinical decision-making.

Key words: Anterior circulation, Acute ischemic stroke, Large vessel occlusion, Mechanical thrombectomy

Doudou Shi, Xinxing Wang, Xiangyang Wang, Zhenyang Liu, Shujuan Zeng, Haibo Tong. Research progress of mechanical thrombectomy in acute anterior circulation large vessel occlusion[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2024, 10(02): 112-116.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhsjcswkdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-9141.2024.02.009

https://zhsjcswkdzzz.cma-cmc.com.cn/EN/Y2024/V10/I02/112

References 31

[1]	《中国脑卒中防治报告》编写组.《中国脑卒中防治报告2020》概要[J].中国脑血管病杂志, 2022, 19(2): 136-144. DOI: 10.3969/j.issn.1672-5921.2022.02.011.
[2]	Berkhemer OA, Fransen PS, Beumer D, et al. A randomized trial of intraarterial treatment for acute ischemic stroke[J]. N Engl J Med, 2015, 372(1): 11-20. DOI: 10.1056/NEJMoa1411587.
[3]	Goyal M, Demchuk AM, Menon BK, et al. Randomized assessment of rapid endovascular treatment of ischemic stroke[J]. N Engl J Med, 2015, 372(11): 1019-1030. DOI: 10.1056/NEJMoa1414905.
[4]	Campbell BC, Mitchell PJ, Kleinig TJ, et al. Endovascular therapy for ischemic stroke with perfusion-imaging selection[J]. N Engl J Med, 2015, 372(11): 1009-1018. DOI: 10.1056/NEJMoa1414792.
[5]	Jovin TG, Chamorro A, Cobo E, et al. Thrombectomy within 8 hours after symptom onset in ischemic stroke[J]. N Engl J Med, 2015, 372(24): 2296-306. DOI: 10.1056/NEJMoa1503780.
[6]	Saver JL, Goyal M, Bonafe A, et al. Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke[J]. N Engl J Med, 2015, 372(24): 2285-95. DOI: 10.1056/NEJMoa1415061.
[7]	Grech R, Pullicino R, Thornton J, et al. An efficacy and safety comparison between different stentriever designs in acute ischaemic stroke: a systematic review and meta-analysis[J]. Clin Radiol, 2016, 71(1): 48-57. DOI: 10.1016/j.crad.2015.09.011.
[8]	Elgendy IY, Kumbhani DJ, Mahmoud A, et al. Mechanical thrombectomy for acute ischemic stroke: a meta-analysis of randomized trials[]. J Am Coll Cardiol, 2015, 66(22): 2498-2505. DOI: 10.1016/j.jacc.2015.09.070.
[9]	Chen CJ, Ding D, Starke RM, et al. Endovascular vs medical management of acute ischemic stroke[J]. Neurology, 2015, 85(22): 1980-90. DOI: 10.1212/WNL.0000000000002176.
[10]	曹洁,彭亚,宣井岗,等. Solitaire支架血管内治疗院内急性缺血性卒中[J].临床神经外科杂志, 2015, 12(6): 442-444, 448. DOI: 10.3969/j.issn.1672-7770.2015.06.011.
[11]	徐瑞,李兴. Solitaire AB支架取栓结合动脉内溶栓与单纯动脉内溶栓治疗急性脑动脉闭塞的比较[J].健康之路, 2015, 14(11): 33. DOI: 10.3969/j.issn.1671-8801.2015.11.032.
[12]	王洪生,刘圣,赵林波,等. Solitaire AB型支架取栓治疗急性大脑中动脉栓塞疗效分析[J].介入放射学杂志, 2015, 24(8): 658-661. DOI: 10.3969/j.issn.1008-794X.2015.08.002.
[13]	何俊,夏鹰,陈焕雄,等. Solitaire AB支架机械取栓治疗急性颅内动脉闭塞[J].中国临床神经外科杂志, 2015, 20(8): 466-468. DOI: 10.13798/j.issn.1009-153X.2015.08.007.
[14]	王彦平,温昌明,张保朝,等. TREVO支架取栓联合替罗非班在急性前循环大血管闭塞患者中的应用分析[J].中华神经医学杂志, 2021, 20(1): 29-34. DOI: 10.3760/cma.j.cn115354-20200920-00751.
[15]	高峰,徐安定.急性缺血性卒中血管内治疗中国指南2015[J].中国卒中杂志, 2015, 10(7): 590-606. DOI: 10.3969/j.issn.1673-5765.2015.07.011.
[16]	Saver JL, Jahan R, Levy EI, et al.SWIFT Trialists. SOLITAIRE™ with the intention for thrombectomy (SWIFT) trial: design of a randomized, controlled, multicenter study comparing the SOLITAIRE™ flow restoration device and the MERCI Retriever in acute ischaemic stroke[J]. Int J Stroke, 2014, 9(5): 658-668. DOI: 10.1111/j.1747-4949.2012.00856.x.
[17]	Turk AS, Frei D, Fiorella D, et al. ADAPT FAST study: a direct aspiration first pass technique for acute stroke thrombectomy[J]. J Neurointerv Surg, 2014, 6(4): 260-264. DOI: 10.1136/neurintsurg-2014-011125.
[18]	Lapergue B, Blanc R, Gory B, et al. Effect of endovascular contact aspiration vs stent retriever on revascularization in patients with acute ischemic stroke and large vessel occlusion: the ASTER randomized clinical trial[J]. JAMA, 2017, 318(5): 443-452. DOI: 10.1001/jama.2017.9644.
[19]	Turk AS 3rd, Siddiqui A, Fifi JT, et al. Aspiration thrombectomy versus stent retriever thrombectomy as first-line approach for large vessel occlusion (COMPASS): a multicentre, randomised, open label, blinded outcome, non-inferiority trial[J]. Lancet, 2019, 393(10175): 998-1008. DOI: 10.1016/S0140-6736(19)30297-1.
[20]	Primiani CT, Vicente AC, Brannick MT, et al. Direct aspiration versus stent retriever thrombectomy for acute stroke: a systematic review and meta-analysis in 9127 patients[J]. J Stroke Cerebrovasc Dis, 2019, 28(5): 1329-1337. DOI: 10.1016/j.jstrokecerebrovasdis.2019.01.034.
[21]	中国卒中学会,中国卒中学会神经介入分会,中华预防医学会卒中.急性缺血性卒中血管内治疗中国指南2018[J].中国卒中杂志, 2018, 13(7): 706-729. DOI: 10.3969/j.issn.1673-5765.2018.07.014.
[22]	Powers WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American heart association/American stroke association[J]. Stroke, 2019, 50(12): e344-e418. DOI: 10.1161/STR.0000000000000211.
[23]	吴小兵,杨旭森,洪宇.球囊扩张在急性缺血性卒中合并原位狭窄中的处理体会[J].中国临床神经外科杂志, 2021, 26(7): 544-545. DOI: 10.13798/j.issn.1009-153X.2021.07.016.
[24]	Chen W, Gong J, Song R, et al. Efficacy and safety of direct balloon angioplasty in the treatment of large atherosclerotic stroke[J]. Clin Neurol Neurosurg, 2021, 211: 107035. DOI: 10.1016/j.clineuro.2021.107035.
[25]	Feng MT, Zhang HJ, Zhang YX, et al. Stent angioplasty for acute intracranial atherosclerotic occlusion after failed thrombectomy: a single-institution series of 55 patients[J]. World Neurosurg, 2019, 130: e444-e448. DOI: 10.1016/j.wneu.2019.06.112.
[26]	Forbrig R, Lockau H, Flottmann F, et al. Intracranial rescue stent angioplasty after stent-retriever thrombectomy: multicenter experience[J]. Clin Neuroradiol, 2019, 29(3): 445-457. DOI: 10.1007/s00062-018-0690-4.
[27]	Yang D, Lin M, Wang S, et al. Primary angioplasty and stenting may be superior to thrombectomy for acute atherosclerotic large-artery occlusion[J]. Interv Neuroradiol, 2018, 24(4): 412-420. DOI: 10.1177/1591019918763380.
[28]	Lin CM, Wu YM, Chang CH, et al. The ANTRACK technique: employing a compliant balloon or stent retriever to advance a large-bore catheter to an occlusion during thrombectomy procedures in acute stroke patients[J]. Oper Neurosurg (Hagerstown), 2019, 16(6): 692-699. DOI: 10.1093/ons/opy202.
[29]	Massari F, Henninger N, Lozano JD, et al. ARTS (Aspiration-Retriever Technique for Stroke): initial clinical experience[J]. Interv Neuroradiol, 2016, 22(3): 325-332. DOI: 10.1177/1591019916632369.
[30]	刘沛,张磊,花伟龙,等.阶梯式血管内治疗策略在前循环急性颅内动脉粥样硬化性大血管闭塞患者中的应用效果[J].第二军医大学学报, 2022, 43(1): 60-64. DOI: 10.16781/j.0258-879x.2022.01.0060.
[31]	Wu Y, Wang J, Sun R, et al. A novel endovascular therapy strategy for acute ischemic stroke due to intracranial atherosclerosis-related large vessel occlusion: Stent-Pass-Aspiration-resCuE-Micowire-Angioplasty (SPACEMAN) technique[J]. Front Neurol, 2022, 13: 798542. DOI: 10.3389/fneur.2022.798542.

Please choose a citation manager

Content to export