| Objective:To analyze the effectiveness and safety of intravascular vascular thrombectomy for acute cardiogenic cerebral infarction.Methods:Retrospective statistics and analysis of the clinical data of 17 patients with acute cardiogenic cerebral infarction from June 2017 to December 2019 in the Department of Neurology and Surgery,First Affiliated Hospital of Xinjiang Medical University,The group with a good outcome(mRS score<2 points)and the group with a bad outcome(mRS score>2 points)were separated by a 7-day mRS score.The difference between the baseline clinical data,intravenous thrombolysis before mechanical thrombectomy,occlusion site,puncture time and recanalization time were compared between the two groups.Results:A total of 17 patients into the treatment group(male 8 cases,female 9),including 10 cases of stroke,posterior circulation in 7 cases,3 cases of vertebral artery stroke,3 cases of basilar artery stroke,6 cases of left middle cerebral artery stroke,4 cases of right middle cerebral artery stroke,the right side of the posterior cerebral artery stroke 1 case),all patients successfully with the involvement of vessels,take rate 100%.There were 8 cases in the 7d good outcome group and 9 cases in the bad outcome group.7 patients(6 patients in the good outcome group,and 1 patients in the bad outcome group)underwent mechanical thrombolysis before thrombolysis,and there was a statistical difference between the two groups(P<0.05),while there was no statistically significant difference in other factors between the two groups.Conclusion:The recanalization rate,safety,and efficacy of mechanical thrombectomy for acute cardiogenic cerebral infarction are high.For patients with acute cardiogenic cerebral infarction,active intravenous thrombolysis within the time window is beneficial to the patient,but the amount of data in this study is small.Certain limitations,still need more samples and multi-center further analysis and research. |
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