急性基底动脉闭塞血管内治疗及临床预后预测因素研究进展 Progress in Predictors of Clinical Outcome in Acute Basilar Artery Occlusion Treated with Mechanical Thrombectory

急性基底动脉闭塞是卒中患者死亡率最高的疾病之一，新一代血管内机械取栓装置能降 低死亡率及改善临床预后。然而急性基底动脉闭塞经血管内机械取栓治疗患者临床结局受到多种因 素的影响，包括患者年龄、治疗前卒中的严重程度、发病至血管开通治疗的时间、治疗前梗死体积的 大小、血栓负荷及侧支循环状态等。本文就急性基底动脉闭塞血管内再通治疗进展及临床预后的影 响因素做一综述。 Abstract: Acute basilar artery occlusion usually leads to high mortality and disability rate. The new generation of thrombectomy devices application can reduce mortality and improve clinical outcome of acute basilar artery occlusion. However, the clinical outcome of acute basilar artery occlusion after mechanical thrombectomy is influenced by many factors, including age, time from onset to puncture, the severity of stroke, the size of infarct volume before treatment, thrombus burden, and collateral circulation and etc. This article reviewed the progress in endovascular treatment and clinical prognosis predictors of acute basilar artery occlusion.