Yuan pu.Comparison of different types of endovascular mechanical embolectomy in acute ischemic stroke.Rev assoc med bras 2019; 65( 3):342-347.Doi:10.1590/1806-9282.65.3.342 summary background: to compare the treatment efficacy of different types of endovascular mechanical embolectomy in acute ischemic stroke (ais).Material and methods: a total of 89 patients with ais were selected in our hospital from january 2014 to january 2016 and divided into tpa group (n=27), tpa+trevo group (n=30) and tpa+solitaire fr group (n=32) for different treatments.Treatment effectiveness was evaluated using nihss and mrs system.The nihss score, vascular recanalization rate and postoperative complications were compared among groups.Results: the nihss score of the tpa group was significantly lower than that of other two groups at 1 d after the operation (p < 0.05), but it was significantly higher than that of other two groups at 3 d and 3 w after the operation (p < 0.05).After the treatment, no significant difference in nihss score was found between the tpa+trevo and tpa solitaire fr groups.The revascularization rate was significantly higher, but the mortality rate in 90 d was significantly lower in the tpa+trevo and tpa+solitaire fr groups than that in the tpa group (p < 0.05), and no significant difference was found between the tpa+trevo and tpa+solitaire fr groups.The incidence rate of symptomatic intracranial hemorrhage was significantly lower in the tpa+solitaire fr group than that in tpa+trevo group (p< 0.05) or tpa group (p < 0.01).Significantly more patients with mrs no hi gher than 2 points were found in the tpa+trevo and tpa+solitaire fr groups than those in tpa group (p< 0.05), and no significant difference was found between the tpa+trevo and tpa+solitaire fr groups.Conclusion: tpa+solitaire fr is a type of thrombectomy that is superior to tpa and tpa+trevo in the treatment of patients with ais.- mortality at 90 days occurred with 4 patients.
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