SO SÁNH KẾT QUẢ ĐIỀU TRỊ CAN THIỆP LẤY HUYẾT KHỐI CƠ HỌC BẰNG HAI PHƯƠNG PHÁP DÙNG STENTRIEVER VÀ DÙNG ỐNG HÚT HUYẾT KHỐI Ở BỆNH NHÂN NHỒI MÁU NÃO CẤP TÍNH

Abstract

Backgroud: This study was designed to compare efficacy and safety of aspiration thrombectomy versus stentriever thrombectomy. Methods: 101 acute ischemic stroke patients with both anterior and posterior cerebral circulation large vessel occlusion were assigned to treatment, with 68 receiving stentriever and 33 receiving aspiration. Results. There was significant reduction in procedural time within the aspiration group (71,1 minutes), compared to stentriever group (133,8 minutes). There was no stattistically significant difference in successful recanalization rate (TICI 2b-3) between the stentriever group (78,8%) and the aspiration group (77,9%). A superior functional outcome, defined as an mRS score of 0-2 at 3 months, was reached by 55,9% of patients in the stentriever group and 66,7% of patients in the aspiration group, though there was no statistical difference between them. Intracranial haemorrhage occurred in 22 (32,4%) of 68 in the stentriever patients and 9 (27,3%) of 33 aspiration patients. At 3 months, all-cause mortality was 17,6% and 18,2% in the stentriever and the aspiration group, respectively. Conclusions. Our findings show that aspiration thrombectomy and stentriever thrombectomy are both effective and safe treatment for acute ischemic stroke. Nonetheless, the procedure time in the aspiration group was remarkably lower.