释 义 n. 血栓取出术
同根词 thrombosis n. 血栓形成
例 句 The clinical application of catheter thrombectomy and catheter-directed thrombolysis in acute lower limb deep vein thrombosis. 导管取栓及导管接触性溶栓在急性下肢深静脉血栓中的临床应用
Aspiration thrombectomy versus stent retriever thrombectomy as frst-line approach for large vessel occlusion (COMPASS): a multicentre, randomised, open label, blinded outcome, non-inferiority trial复制标题
抽吸血栓切除术与支架取栓术作为大血管闭塞的frst线方法 (COMPASS): 一项多中心、随机、开放标签、盲法结果、非劣效性试验
作者： Aquilla S Turk
Multiple randomized trials have established thrombectomy as the standard of care for appropriate patients with large vessel occlusion. These trials predominantly used stent retriever devices to do a thrombectomy. It is unclear whether the benefit observed in these trials would persist if an alternative method of thrombectomy was used. As a result, established stroke guidelines specifically recommend the use of stent retrievers to the exclusion of other thrombectomy techniques A direct aspiration first pass technique is an aspiration-first approach to performing thrombectomy. This technique uses a large-bore catheter to aspirate the thrombus without initially using a stent retriever. If aspiration alone is not successful, then the large-bore catheter serves as a conduit to alternatively use a stent retriever or other means to do the thrombectomy. Findings from initial single-arm studies have suggested the direct aspiration first pass approach has promising safety and clinical efficacy, with potential improvements in time and cost compared with using a stent retriever first line approach. The technical comparability of these two approaches was also suggested when the ASTER trial, a prospective randomized trial designed to show superior angiographic outcomes with direct aspiration first pass technique compared with a stent retriever as a first line approach, failed in its primary outcome, but had similar clinical results in each arm.