Analysis of a modified method for combined removal of throbus from blood vessels of the brain in the treatment of acute ischemic stroke

Logvinenko R.L. Kokov L.S., Shabunin A.V. Arablinskiy Al.V., Tsurkan V.A.

The article presents the first experience of using the new modified way of thrombectomy from cerebral vessels in the acute phase of ischemic stroke associated with the occlusion of a large vessel of the brain.

Purpose. To describe a new sequencing for removing a blood clot from the arteries of the brain and demonstrate the first results of its use. To justify the appropriateness of applying the new way of cerebral thrombectomy, comparing its first results with the most popular similar methods.

Materials and methods. A detailed description of the new sequencing for combined thrombus delete is given. Based on the analysis of 34 sources of domestic and foreign literature revealed shortcomings of methods of cerebral thrombectomy and shows ways to overcome them on the example of our own way.

Results. The results of modified thrombectomy demonstrate comparable results with modern methods in the degree of achieved reperfusion, functional outcomes and complications.

Conclusions. A rational combination of different approaches to thrombectomy makes it possible to remove a blood clot from the arteries of the brain with minimizing the number of attempts and reducing the risk of embolic complications..

1 - S.P. Botkin Moscow City Clinical Hospital.

2 - I.M. Sechenov First Moscow State Medical University.

3 - N.V. Sklifosovsky science & research institute of emergency medicine.

4 - Russian Medical Academy of Continuous Professional Education. Moscow, Russia.

 

Keywords: stroke, thrombectomy, reperfusion, embolic.

 


Corresponding author:  Logvinenko R. L., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Logvinenko R.L. Kokov L.S., Shabunin A.V. Arablinskiy Al.V., Tsurkan V.A.. Analysis of a modified method for combined removal of throbus from blood vessels of the brain in the treatment of acute ischemic stroke. REJR 2020; 10(1):159-177. DOI:10.21569/2222-7415-2020-10-1-159-177.

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Received:       30.09.19 Accepted:     21.01.20