机械取栓治疗前循环大血管闭塞性卒中在80多岁和90多岁人群中的预后与年轻人群的比较

P. Hendrix, M. Killer-Oberpfalzer, E. Broussalis, I. Melamed, S. Mutzenbach, S. Pikija, C. Hecker, O. Goren, R. Zand, C. Schirmer, E. Trinka, C. Griessenauer
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引用次数: 0

摘要

可以。凝块孔隙使流体能够连续流动,从而对网络的固体元素产生阻力,从而促进吸收。凝块渗透性与凝块渗透性密切相关,这是一种测量凝块内造影剂积累的方法,可通过计算机断层血管造影检测到。此外,凝块通透性与一次通过取栓成功有关。凝块变形也促进凝块进入窄孔导管。台式数据表明,在破裂之前,凝块可以从20%延长到100%。因此,取栓过程中更大的液体流量通过多种机制促进了更大的凝块摄入。在取栓过程中,更大的液体流量也可以促进更快的凝块摄入,因为在摄入过程中,更高的流速使凝块更快地对流。减少取栓时间将降低风险和术后并发症。新的台式实验和临床前数据将被提出,以支持这些在神经血管应用中有效去除血凝块的机械机制的相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
E-091 Outcome following mechanical thrombectomy for anterior circulation large vessel occlusion stroke in octogenarians and nonagenarians compared to younger age
able. Clot porosity enables continuous fluid flow, which results in drag forces on the solid elements of the network that promote ingestion. Clot permeability is closely related to clot perviousness, which is a measure of contrast agent accumulation within clots, detectable by computed tomography angiography. Moreover, clot perviousness is associated with first pass success with thrombectomy. Clot deformation also promotes clot ingestion into a narrow bore catheter. Benchtop data has demonstrated that clots can elongate from 20% to 100% prior to breakage. 5 Therefore, greater fluid flow during thrombectomy promotes greater clot ingestion through multiple mechanisms. Greater fluid flow can also promote more rapid clot ingestion during thrombectomy since the higher velocities convect clots faster during ingestion. Decreases in thrombectomy procedure time will reduce risk and post-procedure complications. New benchtop experimental and pre-clinical data will be presented that support the relevance of these mechanical mechanisms of effective blood clot removal in neurovascular applications.
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